Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Physician Services

Organization Rural Health Clinic/Center · NPI 1104179415

Memorial Physician Services is a Rural Health Clinic/Center in Jacksonville, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1602 W Lafayette Ave
Jacksonville, IL 62650-1007
Phone: (217) 243-7200
Fax: (217) 243-6165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1104179415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Dowell — Vice President, Mps · (217) 788-3342
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 26, 2012
Mailing addressPo Box 3428, Springfield, IL 62708-3428

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