OrganizationActive
Memorial Hospital Association
NPI 1275979031 · Family Nurse Practitioner · Augusta, IL
Provider details
- NPI number
- 1275979031
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Memorial Hospital Association
- Organization subpart
- Yes
- Authorized official
- Jessie Fifer, Special Projects Coordinator(217) 357-6594
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
204 Center St
Augusta, IL 62311-1228
Phone: (217) 392-2108
Fax: (217) 392-2110
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Carthage, IL 62321-0160
Other names (DBA / former)
- Doing business as
- Memorial Medical Augusta Clinic
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2013-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.