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Organization
PANA COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
PANA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Cowden Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EUGENE MOON (CFO)
(217) 562-2131
Entity
Organization
Contact information
Practice address
209 E ELM ST, COWDEN, IL 62422-1041
(217) 783-6565
(217) 783-6577
Mailing address
101 E 9TH ST, PANA, IL 62557-1785
(217) 562-2131
(217) 562-6271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2022
Last updated
06/01/2024
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