NPIMap

Organization Active NPI

Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
National Provider Identifier
1184837312
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
059006314 Issued in IL
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Practice address
101 N Walnut St
Pinckneyville, IL 62274-1034
Phone
(618) 357-5944
Fax
(618) 357-8832
NPI assigned
May 7, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jill Kellerman
Title
Director of Pharmacy
Phone
(618) 357-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 059006314 IL Primary

Addresses

Primary practice location

101 N Walnut St
Pinckneyville, IL 62274-1034

Mailing address

101 N Walnut St
Pinckneyville, IL 62274-1034
Phone (618) 357-5944

Other identifiers 1

IdentifierTypeStateIssuer
1454127OtherILNABP

National Provider Directory

National Provider Directory
Tax ID family
Pinckneyville Comm Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1184837312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741034",
            "telephone_number": "618-357-5944",
            "fax_number": "618-357-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741034",
            "telephone_number": "618-357-5944",
            "fax_number": "618-357-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KELLERMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "618-357-5944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "059006314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1454127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckneyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.