Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Other names
Family Medical Center
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
5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3342
(618) 357-2187
(618) 357-8888
Mailing address
5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3342
(618) 357-2187
(618) 357-8888
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07320380
BCBS
IL
01
—
342557
HEALTHLINK
IL
01
—
CI9857
MEDICARE RAILROAD
IL
Enumeration date
02/07/2006
Last updated
01/26/2016
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