Memorial Physician Services
Memorial Physician Services is a healthcare organization registered as Rural Health Clinic/Center in Jacksonville, IL, holding Type 2 (organization) NPI 1104179415 since 2012. The authorized official on file is James Dowell, Vice President, Mps.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104179415 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Memorial Physician Services |
| Practice address | 1602 W LAFAYETTE AVE, Jacksonville, IL, 62650 |
| Phone | 2172437200 |
| Fax | 2172436165 |
| Enumeration date | 2012-10-24 |
| Last updated in NPPES | 2012-10-26 |
Authorized official
| Name | James Dowell |
|---|---|
| Title | Vice President, Mps |
| Phone | 2177883342 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148906 | Other | — | RHC MEDICARE PTAN |
Copy-ready billing details
Provider: Memorial Physician Services NPI: 1104179415 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 1602 W LAFAYETTE AVE, Jacksonville, IL, 62650
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295733830 | James Bohan | Individual | Family Medicine Physician | Jacksonville, IL |
| 1902892037 | James Hinchen | Individual | Family Medicine Physician | Jacksonville, IL |
| 1245226372 | Marshall Hale | Individual | Family Medicine Physician | Jacksonville, IL |
| 1932174133 | Jennifer Flinn | Individual | Nurse Practitioner | Jacksonville, IL |
| 1568471464 | Healthcare Network Associates of Sangamon | Organization | Family Medicine Physician | Jacksonville, IL |
| 1124181482 | Healthcare Network Associates | Organization | Multi-Specialty Clinic/Center | Jacksonville, IL |
| 1740431345 | Jacksonville, LLC | Organization | Family Medicine Physician | Jacksonville, IL |
| 1619129897 | Jacksonville, LLC | Organization | Rural Health Clinic/Center | Jacksonville, IL |
Verify this record
Cross-check NPI 1104179415 against the authoritative CMS record: view Memorial Physician Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Memorial Physician Services?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-10-26.