Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Other names
Pinckneyville SCU Unit
Organization subpart
No
Provider details
NPI number
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) 357-2187
(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
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054807
HEALTH ALLIANCE ID
IL
01
—
138639
HEALTHLINK PROVIDER ID
IL
01
—
2464302
UNITED HEALTHCARE ID
IL
01
—
754
BCBS PROVIDER ID
IL
Enumeration date
02/07/2006
Last updated
08/22/2020
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