Pana Community Hospital Association
Organization Active NPI Multi-Specialty Clinic/Center · Pana, IL
NPI 1619215860 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1619215860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PANA COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 101 E 9TH St
Pana, IL 62557-1716 - Phone
- (217) 562-6246
- Fax
- (217) 562-6228
- NPI assigned
- Jan 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Lisa Marie Bloemer
- Title
- Managing Employee
- Phone
- (217) 562-6246
Other NPIs on the same Medicare enrollment 6
Practitioners 19
-
Beth Anne McCoy, CRNA
-
Jabari E Munroe, MD
-
Holly Novak, M.D.
-
Julie Ann Peacock, PT DPT BCB PMD
-
Pratibha Singla, M.D.
-
Sunil Kumar Agarwal, M.D, M.P.H., PHD
-
Amy Lynn Armstrong, DNP, FNP-BC
-
Piero Capecci, M.D.
-
Holly Marie Chapman, APN
-
Abigail Maciolek Cochran, M.D.
-
Richard T Eden, MD
-
Albert F Gilman IV, M.D.
-
Saurabh Jha, M.D.
-
Manoj Kohli, MD
-
Stephanie L Kulavic, PA-C, ATC
-
Tiffany Nicole Renfro, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000350 | IL | Part B Supplier - Clinic/Group Practice | 3274437348 |
Receives reassigned benefits from 97 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Moweaqua, IL; Ramsey, IL; Pana, IL; Nokomis, IL |
National Provider Directory
Locations
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
101 E 9TH St
Pana, IL 62557-1716
Mailing address
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
Other names
- Community Medical Clinic
Other providers in Pana, IL
- Mr. Joseph T Marcin, Jr
- Marlon Tan Muneses
- NPT Special Education Cooperative
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
All providers in Pana, IL · Multi-Specialty Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.