Organization
ANNA HOSPITAL CORPORATION
Active
Other names
Union County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
517 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4511
(618) 833-8481
Mailing address
1573 MALLORY LN STE 200, BRENTWOOD, TN 37027-2895
(615) 221-1400
(615) 221-1487
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0005421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003882
HEALTH ALLIANCE
—
01
—
0228
BCBS
—
01
—
114579
HEALTHLINK
—
01
—
3760144201
CHAMPUS
—
05
—
3760144201
—
IL
01
—
8111
GHP
—
Enumeration date
08/28/2006
Last updated
08/11/2020
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