OrganizationActive
Memorial Hospital of Carbondale
NPI 1649589268 · General Acute Care Hospital · Carbondale, IL
Memorial Hospital of Carbondale is a General Acute Care Hospital organization in Carbondale, IL (NPI 1649589268).
Provider details
- NPI number
- 1649589268
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Parent organization
- Sih
- Organization subpart
- Yes
- Authorized official
- Amy Surburg, Nurse Practitioner, Pre-Anesthesia(618) 549-0721
- License
- 209008246 (IL)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 529-0431
Street-level locationGet directions
Mailing address
405 W Jackson St
Carbondale, IL 62901-1462
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2010-09-30
Frequently asked questions
- What is Memorial Hospital of Carbondale's NPI number?
- Memorial Hospital of Carbondale's National Provider Identifier (NPI) is 1649589268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Hospital of Carbondale?
- Memorial Hospital of Carbondale is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Memorial Hospital of Carbondale located?
- Memorial Hospital of Carbondale's practice location on file with NPPES is 405 W Jackson St, Carbondale, IL 62901-1462.
- What is Memorial Hospital of Carbondale's phone number?
- The practice phone number listed in the NPPES registry for Memorial Hospital of Carbondale is (618) 549-0721.
- Who is the authorized official for Memorial Hospital of Carbondale?
- The authorized official listed on Memorial Hospital of Carbondale's NPPES record is Amy Surburg, Nurse Practitioner, Pre-Anesthesia. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Hospital of Carbondale's NPI active?
- Yes — Memorial Hospital of Carbondale's NPI (1649589268) is active in the NPPES registry as of the last update on 2010-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.