MEDICARE: HAMILTON MEMORIAL HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1487013876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON MEMORIAL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	MC LEANSBORO
State	:	IL
Zip	:	62859-0429
Country	:	US
Telephone Number	:	618-643-2361
Fax Number	:	618-643-2502

Provider Business Practice Location Address
First Line	:	208 S WASHINGTON ST
Second Line	:
City	:	MC LEANSBORO
State	:	IL
Zip	:	62859-1139
Country	:	US
Telephone Number	:	618-643-2835
Fax Number	:	618-643-2891

Authorized Official
Title or Position	:	CFO
Name	:	MR. JUSTIN EPPERSON
Credential	:
Telephone Number	:	618-643-2361

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	08/01/2025

Similar Medicare Providers

1295789576 — MIKE S DAVENPORT FNP
Practice Location Address:

206 S WASHINGTON ST
MC LEANSBORO, IL
62859-1139

Practice Phone: 618-643-2835
Practice Fax: 618-643-2891

1871067355 — JARED PRYER LPC
Practice Location Address:

210 S WASHINGTON ST
MC LEANSBORO, IL
62859-1139

Practice Phone: 618-927-0478
Practice Fax:

1245798347 — MELYSSA GAYLE WIGGINS FNP
Practice Location Address:

208 S WASHINGTON ST
MC LEANSBORO, IL
62859-1139

Practice Phone: 618-643-2835
Practice Fax: 618-643-2891

1689217820 — FERRELL HOSPITAL COMMUNITY FOUNDATION
Practice Location Address:

206 S WASHINGTON STREET
MC LEANSBORO, IL
62859-1139

Practice Phone: 618-643-2835
Practice Fax: 618-643-2891

1801920889 — FAMILY MEDICINE OF MCLEANSBORO LLC
Practice Location Address:

208 S WASHINGTON ST
MCLEANSBORO, IL
62859-1139

Practice Phone: 618-643-2835
Practice Fax: 618-643-2891

1366446395 — ASUNCION R. COPE M.D.
Practice Location Address:

611 S MARSHALL AVE
MC LEANSBORO, IL
62859-1213

Practice Phone: 618-643-2361
Practice Fax: 618-643-3061

Directions to “HAMILTON MEMORIAL HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.