Healthcare Provider Details

I. General information

NPI: 1518170729
Provider Name (Legal Business Name): TAYLORVILLE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E PLEASANT ST
TAYLORVILLE IL
62568-1562
US

IV. Provider business mailing address

201 E PLEASANT ST
TAYLORVILLE IL
62568-1562
US

V. Phone/Fax

Practice location:
  • Phone: 217-707-5555
  • Fax:
Mailing address:
  • Phone: 217-707-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. EMILY BAILEY
Title or Position: CEO
Credential:
Phone: 217-707-5555