# CARLINVILLE AREA HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gillespie Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295518769
- **Authorized official:** BRIAN D. BURNSIDE (CEO)
- **Authorized official phone:** (217) 854-3141

## Contact information

- **Practice address:** 807 BROADWAY ST, GILLESPIE, IL 62033-1100
- **Practice address phone:** (217) 854-3900
- **Practice address fax:** (217) 839-1313
- **Mailing address:** 20733 N BROAD ST, CARLINVILLE, IL 62626-3710
- **Mailing address phone:** (217) 854-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 03/18/2025
