Organization Name: | MARSHALL BROWNING HOSPITAL ASSOCIATION |
NPI Number: | 1821099441 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRICE DWAYNE HARSY (CONTROLLER) |
Mailing Address: | 900 N Washington St Box 192 Du Quoin |
State: | IL US |
Postal Code: | 628321230 |
Phone Number: | 6185422146 |
Fax Number: | 6185424756 |
NPI Enumeration Date: | 08/04/2005 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 0001388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |