PINCKNEYVILLE COMMUNITY HOSPITAL (NPI# 1255303798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255303798 |
| Entity Type | Organization |
| Organization Name | PINCKNEYVILLE COMMUNITY HOSPITAL |
| Other Organization Name | LUKE MEMORIAL HOSPICE |
| Practice Address |
101 N Walnut St Pinckneyville IL 62274-1034 |
| Practice Telephone | 6183575491 |
| Practice Fax Number | 6183573903 |
| Mailing Telephone | 6183572187 |
| Mailing Fax Number | 6183576740 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. 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 | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTH ALLIANCE | 054531 | 01 |
| IL | BCBS PROVIDER ID | 50255 | 01 |
| IL | UNITED HEALTHCARE ID | 2460775 | 01 |
| Other Name | Type Code |
|---|---|
| Luke Memorial Hospice | 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 |
| 1033372735 | Pinckneyville Community Hospital | Clinic/Center | 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 |
| 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 |
| 1033372735 | 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063751469 | Vna Homecare, Inc. | Hospice Care, Community Based | 15 N Main St, Pinckneyville, IL 62274-1153 | 2013-02-05 |
| 1407019102 | Pinckneyville Community Hospital | Hospice Care, Community Based | 101 N Walnut St, Pinckneyville, IL 62274-1034 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
| 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.