# DEACONESS ILLINOIS UNION COUNTY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Illinois Union County Family Clinic, Deaconess Illinois Rural Health Clinic Anna, Union County Hospital Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184340408
- **Authorized official:** AMBER LIPE (CFO)
- **Authorized official phone:** (618) 998-7020

## Contact information

- **Practice address:** 517 N MAIN ST RM 22, ANNA, IL 62906-1668
- **Practice address phone:** (618) 833-2295
- **Practice address fax:** (618) 833-9058
- **Mailing address:** PO BOX 34141, BELFAST, ME 04915-0619
- **Mailing address phone:** (812) 450-6815
- **Mailing address fax:** (812) 450-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 08/07/2024