PINCKNEYVILLE COMMUNITY HOSPITAL NPI 1689646523

NPI Information

NPI: 1689646523
Provider Name: PINCKNEYVILLE COMMUNITY HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 14D0922679

Address:
5383 STATE ROUTE 154
PINCKNEYVILLE, IL
ZIP 62274
Phone: (618) 357-2187
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PINCKNEYVILLE COMMUNITY HOSPITAL is a critical access general acute care hospital in Pinckneyville, IL. PINCKNEYVILLE COMMUNITY HOSPITAL NPI is 1689646523. The provider is registered as an organization entity type.

The provider's business location address is:

5383 STATE ROUTE 154
PINCKNEYVILLE, IL
ZIP 62274-342
Phone: (618) 357-2187
Fax: (618) 357-8888

The provider's authorized official is Kara Jo Carson .
The authorized official title is Cfo and has the following contact phone number (618) 357-2187.

The CLIA number assigned to this NPI record is 14D0922679 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2006 and was last updated on 1/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	0001891	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CF1266	OTHER	ILLINOIS	MEDICARE RAILROAD
2	=========001	MEDICAID	ILLINOIS
3	162116	OTHER	ILLINOIS	UNITED HEALTHCARE ID
4	277	OTHER	ILLINOIS	BCBS HOSPITAL ID
5	003663	OTHER	ILLINOIS	HEALTH ALLIANCE HOSPITAL
6	111948	OTHER	ILLINOIS	HEALTHLINK PROVIDER ID
7	=========007	OTHER		CHAMPUS, HEALTH NET
8	7315810	OTHER	ILLINOIS	BCBS ER PHYS ID
9	141307	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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