Organization Name: | MEMORIAL MEDICAL CENTER |
NPI Number: | 1326000100 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDGAR J CURTIS (PRESIDENT AND CEO) |
Mailing Address: | 701 N 1st St Springfield |
State: | IL US |
Postal Code: | 627810001 |
Phone Number: | 2177577491 |
Fax Number: | 2177572021 |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |