MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC – NPI #1396142139
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC is a provider located in O'FALLON, IL. NPPES has assigned the NPI number 1396142139 to MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC on November 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC” is a dba name, the actual legal business name for this organization is PC ASSOCIATES, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Jun 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC below.

NPI Profile for
PC ASSOCIATES, LLC

NPI Number
1396142139
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PC ASSOCIATES, LLC
Doing Business As (dba): MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC
Primary location
310 N SEVEN HILLS RD
O'FALLON, IL 62269-4111
Phone: (618) 622-2581 Fax: (618) 622-2593
Mailing address
4500 MEMORIAL DRIVE
MEMORIAL HOSPITAL MEDICAL AFFAIRS CREDENTIALING DEPT
BELLEVILLE, IL 62226
Phone: (618) 257-4644 Fax:
Organization Subpart
No
Authorized Official
JAMES DAVIS
EXECUTIVE DIRECTOR
Phone: (618) 622-2581
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.