Organization Name: | PINCKNEYVILLE COMMUNITY HOSPITAL |
NPI Number: | 1184837312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL KELLERMAN (DIRECTOR OF PHARMACY) |
Mailing Address: | 101 N Walnut St Pinckneyville |
State: | IL US |
Postal Code: | 622741034 |
Phone Number: | 6183575944 |
Fax Number: | 6183578832 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 059006314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |