Organization Name: | PINCKNEYVILLE COMMUNITY HOSPITAL |
NPI Number: | 1255303798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARA JO CARSON (CFO) |
Mailing Address: | 101 N Walnut St Pinckneyville |
State: | IL US |
Postal Code: | 622741034 |
Phone Number: | 6183575491 |
Fax Number: | 6183573903 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |