NPIMap

Organization Active NPI

Marshall Browning Hospital Association

  • Multi-Specialty Clinic/Center
  • Du Quoin, IL
National Provider Identifier
1548940778
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Practice address
900 N Washington St
Du Quoin, IL 62832-1233
Phone
(618) 542-2146
NPI assigned
Jul 21, 2023
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Harold Calderon
Title
Cfo
Phone
(618) 542-1005

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Critical Access Hospital Clinic/Center 261QC0050X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Surgery Physician 208600000X NU
General Practice Physician 208D00000X NU

Addresses

Primary practice location

900 N Washington St
Du Quoin, IL 62832-1233

Mailing address

PO Box 192
Du Quoin, IL 62832-0192
Phone (618) 542-2146

Other practice location 1

916 N Washington St
Du Quoin, IL 62832
Phone (618) 542-2146

Other practice location 2

20 N Washington St
Du Quoin, IL 62832-1429
Phone (618) 542-2129

National Provider Directory

National Provider Directory
Tax ID family
Marshall Browning Hospt5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1548940778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628320192",
            "telephone_number": "618-542-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321233",
            "telephone_number": "618-542-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Du Quoin",
            "state": "IL",
            "postal_code": "62832",
            "country_code": "US",
            "telephone_number": "618-542-2146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Du Quoin",
            "state": "IL",
            "postal_code": "628321429",
            "country_code": "US",
            "telephone_number": "618-542-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-542-1005"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Quoin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.