PINCKNEYVILLE COMMUNITY HOSPITAL (NPI# 1326155029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326155029 |
| Entity Type | Organization |
| Organization Name | PINCKNEYVILLE COMMUNITY HOSPITAL |
| Practice Address |
5383 State Route 154 Pinckneyville IL 62274-3342 |
| Practice Telephone | 6183572187 |
| Practice Fax Number | 6183578888 |
| Mailing Telephone | 6183572187 |
| Mailing Fax Number | 6183578888 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | MR. KARA JO CARSON (CFO) |
| Authorized Official Telephone | 6183572187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
5383 STATE ROUTE 154 |
| City | PINCKNEYVILLE |
| State | IL |
| Zip Code | 62274-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646523 | Pinckneyville Community Hospital | General Acute Care Hospital | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-05 |
| 1689292997 | Amber Marie Kellerman | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-07-13 |
| 1326660440 | Leah M. Hopp | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-05-12 |
| 1508386533 | Sabrina Haque I | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2017-06-21 |
| 1831642164 | Miles Priebe | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2016-08-03 |
| 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 |
| 1366733800 | Andrew James Forbes | Internal Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2011-05-02 |
| 1134422652 | Mariah Kathryn Charles | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2010-12-07 |
| 1851341366 | Khalid Naseer | Internal Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-05-12 |
| 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 |
| 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 |
| 1457855330 | Family Dental Center of Pinckneyville LLC | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2018-03-23 |
| 1346410156 | The Family Dental Center of Pinckneyville | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2008-03-07 |
| Find all providers in zip 62274 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1508386533 | Sabrina Haque I | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2017-06-21 |
| 1689646127 | John Gregg Fozard | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-07 |
| 1790774826 | Robert J Davidson | Family Medicine | 13 N Walnut St, Pinckneyville, IL 62274-1050 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 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.