| Organization Name: | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Number: | 1437100831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADA M BAIR (CEO) |
| Mailing Address: | 209 E 5th Street Bowen |
| State: | IL US |
| Postal Code: | 62316 |
| Phone Number: | 2178425211 |
| Fax Number: | 2178425202 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 0001529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |