Healthcare Provider Details

I. General information

NPI: 1821099441
Provider Name (Legal Business Name): MARSHALL BROWNING HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N WASHINGTON ST BOX 192
DU QUOIN IL
62832-1230
US

IV. Provider business mailing address

900 N WASHINGTON ST
DU QUOIN IL
62832-1233
US

V. Phone/Fax

Practice location:
  • Phone: 618-542-2146
  • Fax: 618-542-4756
Mailing address:
  • Phone: 618-542-2146
  • Fax: 618-542-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number0001388
License Number StateIL

VIII. Authorized Official

Name: HAROLD CALDERON
Title or Position: CFO
Credential:
Phone: 618-542-1005