Organization
MARSHALL BROWNING HOSPITAL ASSOCIATION
Active
Parent organization
MARSHALL BROWNING HOSPITAL ASSOCIATION
Other names
Marshall Browning Hospital Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Authorized official
MR. DANIEL EAVES (CEO)
(618) 542-2146
Entity
Organization
Contact information
Practice address
905 N WASHINGTON ST, DU QUOIN, IL 62832-5601
(618) 542-2146
(618) 542-5920
Mailing address
PO BOX 192, DU QUOIN, IL 62832-0192
(618) 542-2146
(618) 542-5920
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0001388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244
BLUE CROSS
IL
01
—
272980
HEALTHLINK
IL
01
—
7315813
BLUE SHIELD
IL
01
—
807200
MEDICARE ID PART B
IL
01
—
CF1574
PALMATO-GBA / RRMC-GROUP
IL
Enumeration date
04/23/2009
Last updated
04/15/2025
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