PANA COMMUNITY HOSPITAL ASSOCIATION (NPI# 1013086982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013086982 |
| Entity Type | Organization |
| Organization Name | PANA COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | PANA MEDICAL GROUP |
| Practice Address |
217 S Locust St Pana IL 62557-9998 |
| Practice Telephone | 2175622143 |
| Practice Fax Number | 2175622251 |
| Mailing Telephone | 2175622143 |
| Mailing Fax Number | 2175622251 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | KATRINA CASNER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2175622131 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pana Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922469535 | Pana Community Hospital Association | Family Medicine | 103 W 6th St, Ramsey, IL 62080-0016 | 2016-03-09 |
| 1396106910 | Pana Community Hospital Association | Family Medicine | 118 N. Walnut, Assumption, IL 62510-1082 | 2016-03-09 |
| 1568651099 | Pana Community Hospital Association | Family Medicine | 715 South Superior, Ramsey, IL 62080 | 2007-10-22 |
| 1992994461 | Pana Community Hospital Association | Family Medicine | 120 S Cedar St, Nokomis, IL 62075-1647 | 2007-10-19 |
| 1760940860 | Pana Community Hospital Association | Clinic/Center | 217 S Locust St, Pana, IL 62557-1689 | 2019-03-07 |
| 1760932248 | Pana Community Hospital Association | Clinic/Center | 118 N Walnut St, Assumption, IL 62510-1082 | 2016-10-10 |
| 1861942344 | Pana Community Hospital Association | Clinic/Center | 120 S Cedar St, Nokomis, IL 62075-1647 | 2016-10-10 |
| 1114388733 | Pana Community Hospital Association | Family Medicine | 120 S Cedar St, Nokomis, IL 62075-1647 | 2016-03-09 |
| 1619215860 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Pana, IL 62557-1716 | 2013-01-23 |
| 1487843959 | Pana Community Hospital Association | Family Medicine | 118 N Walnut St, Assumption, IL 62510-1082 | 2007-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PANA COMMUNITY HOSPITAL ASSOCIATION | 101 E 9th St, Pana, IL 62557-1716 |
| Street Address |
217 S LOCUST ST |
| City | PANA |
| State | IL |
| Zip Code | 62557-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940860 | Pana Community Hospital Association | Clinic/Center | 217 S Locust St, Pana, IL 62557-1689 | 2019-03-07 |
| 1134671233 | Tabitha Litz | Nurse Practitioner | 217 S Locust St, Pana, IL 62557-1605 | 2016-10-25 |
| 1982159182 | Pana Medical Group | Clinic/Center | 217 S Locust St, Pana, IL 62557-1605 | 2016-08-18 |
| 1396059325 | Coleen Karen Rakers | Nurse Practitioner | 217 S Locust St, Pana, IL 62557-1689 | 2010-08-02 |
| 1598837999 | Gloria G Dycoco | Internal Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-14 |
| 1851460737 | Ernesto Norona Fabi | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
| 1437228319 | Deogracias F Quizon | Family Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557 | 2006-11-07 |
| 1528137403 | Virgilio M Dycoco | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033567805 | Joni Marie Lidy | Speech-Language Pathologist | 1000 E. 6th Street, Pana, IL 62557 | 2016-06-01 |
| 1750538237 | Nancy L. Simpson | Physical Therapy Assistant | 100 E 6th St. Rd., Pana, IL 62557 | 2008-08-26 |
| 1306093661 | Maiden Louise Axalan Bacolod | Physical Therapist | 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 | 2008-08-19 |
| 1922128123 | Randall Dean Floyd | Dentist | 9 South State Street, Pana, IL 62557 | 2007-03-30 |
| 1114056363 | Laurie Cunnington | Family Medicine | 101 East Ninth St, Pana, IL 62557 | 2007-03-05 |
| 1871688390 | Donald Metzger | Pharmacist | 28 East Second, Pana, IL 62557 | 2006-10-03 |
| 1851486377 | John A Metzger | Pharmacist | 28 East Second Street, Pana, IL 62557 | 2006-10-03 |
| 1235225236 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Suite 105, Pana, IL 62557 | 2006-10-05 |
| 1245437797 | Hickory Estates of Pana LLC | Assisted Living Facility | 101 N Hickory St, Pana, IL 62557-1040 | 2007-06-28 |
| 1235280058 | Alan Douglas Cyrus | Chiropractor | 103 W Washington St, Pana, IL 62557-1144 | 2007-01-16 |
| Find all providers in zip 62557 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851460737 | Ernesto Norona Fabi | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
| 1528137403 | Virgilio M Dycoco | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
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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.