Memorial Physician Services
Memorial Physician Services is a healthcare organization registered as Rural Health Clinic/Center in Jacksonville, IL, holding Type 2 (organization) NPI 1558614867 since 2012. The authorized official on file is James Dowell, Vice President, Mps.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558614867 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Memorial Physician Services |
| Practice address | 15 FOUNDERS LN, SUITE 100, Jacksonville, IL, 62650 |
| Phone | 2172430300 |
| Fax | 2172456775 |
| Enumeration date | 2012-10-24 |
| Last updated in NPPES | 2021-02-11 |
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 |
|---|---|---|---|
| 148905 | Other | — | RHC MEDICARE PTAN |
Copy-ready billing details
Provider: Memorial Physician Services NPI: 1558614867 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 15 FOUNDERS LN, SUITE 100, Jacksonville, IL, 62650
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487609640 | Kim Wyatt | Individual | Family Medicine Physician | Jacksonville, IL |
| 1568620409 | Jacksonville Family Health Care Lab | Organization | Clinical Medical Laboratory | Jacksonville, IL |
| 1144455767 | Abigail White | Individual | Surgery Physician | Jacksonville, IL |
| 1649409749 | Springfield Clinic Jacksonville Outreach Lab | Organization | Clinical Medical Laboratory | Jacksonville, IL |
| 1598068793 | Springfield Clinic LLP | Organization | Rural Health Clinic/Center | Jacksonville, IL |
| 1275973539 | Rosemary Koeppel | Individual | Pediatrics Physician | Jacksonville, IL |
| 1326458332 | Mosam Patel | Individual | Family Medicine Physician | Jacksonville, IL |
| 1083020903 | Coral Armour | Individual | Clinical Social Worker | Jacksonville, IL |
Verify this record
Cross-check NPI 1558614867 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
Who is the authorized official for Memorial Physician Services?
What is the NPI number for Memorial Physician Services?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-02-11.