| Organization Name: | PINCKNEYVILLE COMMUNITY HOSPITAL |
| NPI Number: | 1306818844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARA JO CARSON (CFO) |
| Mailing Address: | 5383 State Route 154 Pinckneyville |
| State: | IL US |
| Postal Code: | 622743342 |
| Phone Number: | 6183572187 |
| Fax Number: | 6183578888 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |