Pana Community Hospital Association

Organization Active NPI General Practice Physician · Pana, IL

NPI 1013086982 · NPPES record last updated Jun 7, 2016

Key facts

NPI
1013086982
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
PANA COMMUNITY HOSPITAL ASSOCIATION
Practice address
217 S Locust St
Pana, IL 62557-9998
Phone
(217) 562-2143
Fax
(217) 562-2251
NPI assigned
Nov 7, 2006
Organization subpart
No

Authorized official

Name
Katrina Casner, CEO
Title
President/Ceo
Phone
(217) 562-2131

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Pana Internal Medicine (17 organizations share this tax ID)

Locations

217 S Locust St
Pana, IL 62557
Phone (217) 562-2143

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a264d319-abe3-49cd-84c9-cb6403a03aa6/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

217 S Locust St
Pana, IL 62557-9998

Mailing address

217 S Locust St
Pana, IL 62557-9998
Phone (217) 562-2143

Other names

  • Pana Medical Group Doing business as

Other providers in Pana, IL

All providers in Pana, IL · General Practice Physician in Illinois

Sources for this page

Verify at the official NPI Registry.