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General NPI Number Information
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NPI Number | 1891649935
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Entity Type | Organization
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Legal Business Name | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1103 W MAIN ST
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City | CARMI
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State | IL
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Zip | 62821-1380
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Country | US
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Telephone | 618-842-4617
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Fax |
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Provider Business Mailing Address
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Address Line | 303 NW 11TH ST
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City | FAIRFIELD
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State | IL
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Zip | 62837-1206
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Country | US
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Telephone | 618-842-4617
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Fax |
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Authorized Official
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Title or Position | STAFF ACCOUNTANT
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Name | MARY KNIGHT
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Credential |
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Telephone | 618-847-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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