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NPI Code Detail

MEDICARE: PINCKNEYVILLE COMMUNITY HOSPITAL

MEDICARE: PINCKNEYVILLE COMMUNITY HOSPITAL
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
1261QR1300XRural Health Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CI9857OTHERILMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107320380OTHERILBCBS
3342557OTHERILHEALTHLINK

General Provider Information

NPI Number : 1306818844
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINCKNEYVILLE COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 5383 STATE ROUTE 154
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-3342
Country : US
Telephone Number : 618-357-2187
Fax Number : 618-357-8888
Provider Business Practice Location Address
First Line : 5383 STATE ROUTE 154
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-3342
Country : US
Telephone Number : 618-357-2187
Fax Number : 618-357-8888
Authorized Official
Title or Position : CFO
Name : MRS. KARA JO CARSON
Credential :
Telephone Number : 618-357-2187
Provider Enumeration Date : 02/07/2006
Last Update Date : 01/26/2016

Similar Medicare Providers

1790755692 — DR. SHARON LUCILLE WHITE-FINDLEY D.O.
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2131
Practice Fax: 618-357-8844
1689646523 — PINCKNEYVILLE COMMUNITY HOSPITAL
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2187
Practice Fax: 618-357-8888
1407828940 — DR. CHRISTOPHER D REYES M.D.
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2131
Practice Fax: 618-357-3411
1689646127 — DR. JOHN GREGG FOZARD M.D.
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2131
Practice Fax: 618-357-3411
1497727937 — STEPHEN C PRIEBE PAC
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2187
Practice Fax: 618-357-8888
1629039706 — PINCKNEYVILLE COMMUNITY HOSPITAL
Practice Location Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
62274-3342
Practice Phone: 618-357-2187
Practice Fax: 618-357-8888

Directions to “PINCKNEYVILLE COMMUNITY HOSPITAL ” 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.

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