PINCKNEYVILLE COMMUNITY HOSPITAL (NPI# 1033372735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033372735 |
| Entity Type | Organization |
| Organization Name | PINCKNEYVILLE COMMUNITY HOSPITAL |
| Other Organization Name | FAMILY MEDICAL CENTER |
| Practice Address |
101 N Walnut St Pinckneyville IL 62274-1034 |
| Practice Telephone | 6183572187 |
| Practice Fax Number | 6183576740 |
| Mailing Telephone | 6183572187 |
| Mailing Fax Number | 6183576740 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | KARA JO CARSON (CFO) |
| Authorized Official Telephone | 6183572187 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINCKNEYVILLE COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646523 | Pinckneyville Community Hospital | General Acute Care Hospital | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-05 |
| 1295974327 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2009-02-12 |
| 1275796971 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1407019102 | Pinckneyville Community Hospital | Hospice Care, Community Based | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1316100019 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1124281829 | Pinckneyville Community Hospital | Skilled Nursing Facility | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1861655565 | Pinckneyville Community Hospital | Clinic/Center | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1215190913 | Pinckneyville Community Hospital | Home Health | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1104089804 | Pinckneyville Community Hospital | Pharmacy | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1184837312 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2007-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINCKNEYVILLE COMMUNITY HOSPITAL | 5383 State Route 154, Pinckneyville, IL 62274-3342 |
| Street Address |
101 N WALNUT ST |
| City | PINCKNEYVILLE |
| State | IL |
| Zip Code | 62274-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467715870 | Casey Dawn Mc Donnough | Physical Therapy Assistant | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2012-06-20 |
| 1326301029 | Crystal Jean Hillyard | Physical Therapist | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2012-06-19 |
| 1235492935 | Dan Varel | Physical Therapist | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2012-06-19 |
| 1649401365 | Leah Jo Helbig | Occupational Therapy Assistant | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2009-07-29 |
| 1295974327 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2009-02-12 |
| 1275796971 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1407019102 | Pinckneyville Community Hospital | Hospice Care, Community Based | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1316100019 | Pinckneyville Community Hospital | General Acute Care Hospital | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1124281829 | Pinckneyville Community Hospital | Skilled Nursing Facility | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1861655565 | Pinckneyville Community Hospital | Clinic/Center | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912260233 | Kathy Lynn Heard | Physical Therapy Assistant | 101 N. Walnut St., Pinckneyville, IL 62274 | 2012-06-21 |
| 1235254350 | Timothy Alan Mathis | Emergency Medicine | 202 S Walnut St, Pinckneyville, IL 62274 | 2007-03-20 |
| 1225194988 | Perry County Trans Van | Non-emergency Medical Transport (VAN) | 602 S Douglas St, Pinckneyville, IL 62274 | 2006-12-28 |
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1588670426 | Ralph Kane Chapman | Dentist | Box 469, 314 W South St, Pinckneyville, IL 62274 | 2006-07-31 |
| 1427456961 | Alisa D Dearmond | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1619210721 | Andrea Marie Epplin | Nurse Practitioner | 5383 State Route 154, Family Medical Center, Pinckneyville, IL 62274 | 2013-03-27 |
| 1841336799 | Clinic Pharmacy | Pharmacy | 206 North Main Street, Pinckneyville, IL 62274-0364 | 2007-01-29 |
| 1992840821 | Wayne Ray Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2007-02-20 |
| 1194384669 | Thaddeus Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2019-06-10 |
| Find all providers in zip 62274 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655565 | Pinckneyville Community Hospital | Clinic/Center | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| 1306818844 | Pinckneyville Community Hospital | Clinic/Center | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-07 |
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|---|---|---|---|---|
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| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | PINCKNEYVILLE |
| Zip Code | 62274 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.