Organization
MARSHALL BROWNING HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EAVES (CEO)
(618) 542-2146
Entity
Organization
Contact information
Practice address
900 N WASHINGTON ST, BOX 192, DU QUOIN, IL 62832-1230
(618) 542-2146
(618) 542-4756
Mailing address
900 N WASHINGTON ST, P. O. BOX 192, DU QUOIN, IL 62832-1230
(618) 542-2146
(618) 542-4756
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0001388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005922
HEALTH ALLIANCE
—
01
—
188370
HEALTHLINK
—
01
—
244
BLUE CROSS
IL
01
—
7315813
BLUE SHIELD
IL
01
—
L026537
CHAMPUS
—
Enumeration date
08/04/2005
Last updated
07/24/2024
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