Active NPI
Anna Hospital Corporation
Doing business as Union County Hospital
- Critical Access Hospital
- Anna, IL
National Provider Identifier
1265540488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 0005421
- Legal business name
- ANNA HOSPITAL CORPORATION
- Doing business as
- Union County Hospital
- Practice address
- 517 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4511
- Fax
- (618) 833-8481
- NPI assigned
- Aug 28, 2006
- Last updated
- Aug 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Op/Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 0005421 | IL | Primary |
Addresses
Primary practice location
517 N Main St
Anna, IL 62906-1668
Mailing address
1573 Mallory LN Ste 200
Brentwood, TN 37027-2895
Phone (615) 221-1400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8111 | Other | GHP | |
| 0228 | Other | BCBS | |
| 114579 | Other | HEALTHLINK | |
| 3760144201 | Other | CHAMPUS | |
| 003882 | Other | HEALTH ALLIANCE | |
| 3760144201 | Medicaid | IL |
Other names 1
- Union County Hospital
National Provider Directory
National Provider DirectoryLocations
1573 Mallory Ln
Ste 200
Brentwood, TN 37027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1265540488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MALLORY LN STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272895",
"telephone_number": "615-221-1400",
"fax_number": "615-221-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4511",
"fax_number": "618-833-8481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNA HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IL",
"license": "0005421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "8111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0228",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "114579",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "3760144201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "003882",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3760144201",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Union County Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Union County Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anna, IL
- Anna Clinic Corp (Union County Podiatry)
- Anna Clinic Corp (Union County Family Medicine)
- Anna Clinic Corp (Union County Surgical Services)
- Anna Comm Consolidated Dist 37
- Anna Home Care Services LLC (Regional Home Care, Anna)
- Anna Hospital Corporation (Union County Hospital)
- Anna Hospital Corporation (Convenient Care Clinic)
- Anna Hospital Corporation (Union County Hospital Pharmacy)
- Anna Hospital Corporation (Union County Hospital)
- Anna Hospital Corporation (Union County Hospital LTC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.