# PANA COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cowden Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720710437
- **Authorized official:** MR. JAMES EUGENE MOON (CFO)
- **Authorized official phone:** (217) 562-2131

## Contact information

- **Practice address:** 209 E ELM ST, COWDEN, IL 62422-1041
- **Practice address phone:** (217) 783-6565
- **Practice address fax:** (217) 783-6577
- **Mailing address:** 101 E 9TH ST, PANA, IL 62557-1785
- **Mailing address phone:** (217) 562-2131
- **Mailing address fax:** (217) 562-6271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/01/2024