Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Other names
Luke Memorial Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Authorized official
MRS. KARA JO CARSON (CFO)
(618) 357-2187
Entity
Organization
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-5491
(618) 357-3903
Mailing address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
(618) 357-6740
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054531
HEALTH ALLIANCE
IL
01
—
2460775
UNITED HEALTHCARE ID
IL
01
—
50255
BCBS PROVIDER ID
IL
Enumeration date
02/07/2006
Last updated
04/20/2008
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