| Organization Name: | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Number: | 1073858262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADA BAIR (CEO) |
| Mailing Address: | 1454 N County Road 2050 Carthage |
| State: | IL US |
| Postal Code: | 623213551 |
| Phone Number: | 2173578500 |
| Fax Number: | 2173578564 |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 0005611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |