Pana Community Hospital Association
Organization Active NPI Family Medicine Physician · Assumption, IL
NPI 1396106910 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1396106910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PANA COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 118 N. Walnut
Assumption, IL 62510-1082 - Phone
- (217) 226-3133
- Fax
- (217) 226-4311
- NPI assigned
- Mar 9, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- PANA COMMUNITY HOSPITAL ASSOCIATION
Authorized official
- Name
- Miss Lisa Bloemer
- Title
- Practice Manager
- Phone
- (217) 562-6246
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Pana Internal Medicine
- Part of
- Pana Internal Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
118 N. Walnut
Assumption, IL 62510-1082
Mailing address
118 N. Walnut
Assumption, IL 62510-1082
Phone (217) 226-3133
Other names
- Community Medical Clinic of Assumption
Other providers in Assumption, IL
- Jaclyn Davis
- Kemmerer Village Inc.
- Kemmerer Village Inc.
- Metzger Health Care Pharmacy
- Amber Miller
- Pana Community Hospital Association
- Pana Community Hospital Association
- Courtney Lynn Rowcliffe
- Rebecca Marie Throneburg
All providers in Assumption, 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 Mar 9, 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.