Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
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
282NC0060X
Critical Access Hospital
Primary
0001891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003663
HEALTH ALLIANCE HOSPITAL
IL
01
—
111948
HEALTHLINK PROVIDER ID
IL
01
—
162116
UNITED HEALTHCARE ID
IL
01
—
277
BCBS HOSPITAL ID
IL
01
—
7315810
BCBS ER PHYS ID
IL
01
—
CF1266
MEDICARE RAILROAD
IL
Enumeration date
02/05/2006
Last updated
01/26/2016
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