{"npi":"1245822170","type":"NPI-2","status":"active","name":{"display":"Memorial Physician Services","other":[],"organization_name":"MEMORIAL PHYSICIAN SERVICES","authorised_official":"Ann Bowling"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8460 SAINT LUKES DR","city":"BEARDSTOWN","state":"IL","postal_code":"626188385","country_code":"US","phone":"2175440306","fax":"2173231739"},{"purpose":"MAILING","street_1":"8460 SAINT LUKES DR","city":"BEARDSTOWN","state":"IL","postal_code":"626188385","country_code":"US","phone":"2175440306","fax":"2173231739"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"148905","state":"IL","issuer":"RHC PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210311002373","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"IL","pac_id":"9032005681"}]},"enumeration_date":"2021-02-11","last_updated":"2024-04-04","_meta":{"source":"NPPES","snapshot_date":"2024-04-04","doc_url":"https://findmynpi.com/api"}}