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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
1251E00000XHome Health Agency1004423IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19641OTHERILBCBS PROVIDER ID
21391501OTHERILUNITED HEALTHCARE ID
3054809OTHERILHEALTH ALLIANCE ID

General Provider Information

NPI Number : 1942272885
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINCKNEYVILLE COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 101 N WALNUT ST
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-1034
Country : US
Telephone Number : 618-357-2187
Fax Number : 618-357-6740
Provider Business Practice Location Address
First Line : 101 N WALNUT ST
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-1034
Country : US
Telephone Number : 618-357-2187
Fax Number : 618-357-6740
Authorized Official
Title or Position : CFO
Name : MRS. KARA JO CARSON
Credential :
Telephone Number : 618-357-2187
Provider Enumeration Date : 02/05/2006
Last Update Date : 04/20/2008

Similar Medicare Providers

1144211764 — DR. ATKAVI SAWADISAVI MD
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-5920
Practice Fax: 618-357-3096
1346212883 — PINCKNEYVILLE COMMUNITY HOSPITAL
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-2187
Practice Fax: 618-357-6740
1255303798 — PINCKNEYVILLE COMMUNITY HOSPITAL
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-5491
Practice Fax: 618-357-3903
1699747139 — PINCKNEYVILLE COMMUNITY HOSPITAL
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-2187
Practice Fax: 618-357-6740
1730195421 — DONALD C. BURR RADIOLOGIST
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-2187
Practice Fax:
1942216627 — DONALD C BURR M.D.
Practice Location Address:
101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034
Practice Phone: 618-357-2187
Practice Fax:

Directions to “PINCKNEYVILLE COMMUNITY HOSPITAL ” Practice Location

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