Pana Community Hosptial Association
Organization Active NPI Family Medicine Physician · Nokomis, IL
NPI 1255460440 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1255460440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PANA COMMUNITY HOSPTIAL ASSOCIATION
- Practice address
- 107 W State St
Nokomis, IL 62075-1499 - Phone
- (217) 563-8343
- Fax
- (217) 563-2285
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Katrina Casner, CEO
- Title
- President/Ceo
- Phone
- (217) 562-2131
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Pana Internal Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
107 W State St
Nokomis, IL 62075-1499
Mailing address
107 W State St
Nokomis, IL 62075-1499
Phone (217) 563-8343
Other names
- NOKOMIS MEDICAL GROUP
Other providers in Nokomis, IL
- Nokomis-Witt Area Ambulance Service
- Nokomis-Witt Area Ambulance Service Inc
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Petersen Health Care - Nokomis, LLC
- Petersen Health Network, LLC
- Robert Gollon
- Springfield Clinic, LLP
- Nicole Tonette Stauder
All providers in Nokomis, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.