Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL KELLERMAN (DIRECTOR OF PHARMACY)
(618) 357-5944
Entity
Organization
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-5944
(618) 357-8832
Mailing address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-5944
(618) 357-8832
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
059006314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454127
NABP
IL
Enumeration date
05/07/2007
Last updated
05/20/2008
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