Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Authorized official
KARA JO CARSON (CFO)
(618) 357-2187
Entity
Organization
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
(618) 357-6740
Mailing address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
(618) 357-6740
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7315810
BCBS ER PHYS ID
IL
Enumeration date
02/12/2009
Last updated
02/12/2009
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