Active NPI
Marshall Browning Hospital Association
- Critical Access Hospital
- Du Quoin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 0001388
- Legal business name
- MARSHALL BROWNING HOSPITAL ASSOCIATION
- Practice address
- 900 N Washington St
Box 192
Du Quoin, IL 62832-1230 - Phone
- (618) 542-2146
- Fax
- (618) 542-4756
- NPI assigned
- Aug 4, 2005
- Last updated
- May 21, 2026
- Organization subpart
- Yes
- Parent organization
- MARSHALL BROWNING HOSPITAL ASSOCIATION
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | 0001388 | IL | Primary |
Addresses
Primary practice location
900 N Washington St
Box 192
Du Quoin, IL 62832-1230
Mailing address
900 N Washington St
Du Quoin, IL 62832-1233
Phone (618) 542-2146
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244 | Other | IL | BLUE CROSS |
| 188370 | Other | HEALTHLINK | |
| L026537 | Other | CHAMPUS | |
| 005922 | Other | HEALTH ALLIANCE | |
| 7315813 | Other | IL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000868 | IL | Part B Supplier - Clinic/Group Practice | 9335049980 |
Receives reassigned benefits from 52 practitioners Practice locations: Du Quoin, IL |
| O20061104000246 | IL | Part A Provider - Critical Access Hospital | 9335049980 | Practice locations: Du Quoin, IL |
| O20111216000034 | IL | Part A Provider - Critical Access Hospital | 9335049980 | Practice locations: Du Quoin, IL |
| O20180830001728 | IL | Part A Provider - Rural Health Clinic | 9335049980 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Du Quoin, IL |
NPI to CCN mapping 3
The Medicare certification numbers (CCNs) connected to NPI 1821099441. Details of each certification follow.
Hospital certification: CCN 141331
- Legal name
- MARSHALL BROWNING HOSPITAL ASSOCIATION
- Doing business as
- MARSHALL BROWNING HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 1, 2004
- Last certification
- Nov 17, 2016
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Other
- Enrollment address
- 900 North Washington St
Box 192
Du Quoin, IL 62832-1233
Hospital certification: CCN 14Z331
- Legal name
- MARSHALL BROWNING HOSPITAL ASSOCIATION
- Doing business as
- MARSHALL BROWNING HOSPITAL
- Organization structure
- Other
- Enrollment address
- 900 N Washington St
Du Quoin, IL 62832-1233
Rural health clinic certification: CCN 148597
- Legal name
- MARSHALL BROWNING HOSPITAL ASSOCIATION
- Doing business as
- MBH EAST MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 28, 2018
- Last certification
- Dec 30, 2019
- Ownership / control type
- 2A
- Organization structure
- Other
- Enrollment address
- 916 N Washington St
Du Quoin, IL 62832-1200 - Related CCNs
- 141331
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
Parent provider
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
Parent provider
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
9335049980
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
9335049980
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
O20180830001728
Care Compare: Hospital
Medicare Care Compare- Listed as
- Marshall Browning Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Marshall Browning Hospt
Locations
261 South Ave
Tallmadge, OH 44278
Phone (330) 630-2900
Interoperability endpoints
- alex.befeler@mbhdq.medalliesdirect.net
- anand.patel@mbhdq.medalliesdirect.net
- ariele.loiacono@mbhdq.medalliesdirect.net
- bianca.bottiaux@mbhdq.medalliesdirect.net
- christine.hachem@mbhdq.medalliesdirect.net
- danielle.klump@mbhdq.medalliesdirect.net
- david.dickinson@mbhdq.medalliesdirect.net
- david.yablonsky@mbhdq.medalliesdirect.net
- edward.travis@mbhdq.medalliesdirect.net
- elisabeth.britton@mbhdq.medalliesdirect.net
- elizabeth.harbison@mbhdq.medalliesdirect.net
- frederick.pfalzgraf@mbhdq.medalliesdirect.net
- hany.elbeshbeshy@mbhdq.medalliesdirect.net
- heather.rice@mbhdq.medalliesdirect.net
- issa.abed@mbhdq.medalliesdirect.net
- jason.taylor@mbhdq.medalliesdirect.net
- katherine.laird@mbhdq.medalliesdirect.net
- mariah.charles@mbhdq.medalliesdirect.net
- michael.staff@mbhdq.medalliesdirect.net
- nicole.johnson@mbhdq.medalliesdirect.net
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| William C Place | Corporate Director | Sep 30, 2017 | 5% |
| Corporate Director | Sep 30, 2017 | 5% | |
| Corporate Director | Sep 1, 2017 | ||
| Daniel H Eaves | Corporate Director | Dec 16, 2021 | 5% |
| Corporate Director | Dec 16, 2021 | 5% | |
| Corporate Director | Sep 30, 2021 | 5% | |
| Brooke Feltmeyer | W-2 Managing Employee | Apr 14, 2025 | |
| Bradley K Galli | Corporate Director | Sep 30, 2011 | 5% |
| Corporate Director | Sep 1, 2011 | ||
| Steve Marek | Corporate Director | Mar 1, 2021 | 5% |
| Richard K Haines | Corporate Director | Sep 30, 1995 | 5% |
| Corporate Director | Sep 30, 1995 | 5% | |
| Corporate Director | Sep 1, 1996 | ||
| Harold Calderon | Corporate Officer | Jan 1, 2020 | 5% |
| W-2 Managing Employee | Jan 1, 2020 | ||
| W-2 Managing Employee | Jan 1, 2020 | 5% | |
| Isaac E Davison | Corporate Director | Mar 30, 2019 | 5% |
| Corporate Director | Sep 30, 2019 | 5% | |
| Corporate Officer | Jan 1, 2020 | 5% | |
| W-2 Managing Employee | Jan 1, 2020 | 8% | |
| David Searby | Corporate Director | Sep 30, 2010 | 5% |
| Corporate Director | Sep 30, 2010 | ||
| Corporate Director | Sep 1, 2010 | ||
| Donald L Hoffman | Corporate Director | Sep 30, 2007 | 5% |
| Corporate Director | Sep 30, 2007 | 5% | |
| Corporate Director | Sep 1, 2007 | ||
| Carolyn Celeste Gibson | Corporate Director | Sep 28, 2020 | 5% |
| Guy H Alongi | Corporate Director | Sep 25, 2017 | 5% |
| Corporate Director | Sep 1, 2017 | ||
| Sandy Jones | Corporate Director | Mar 1, 2021 | 5% |
| Corporate Director | Mar 1, 2021 | 5% | |
| Tracy Fenton | Corporate Director | Mar 1, 2021 | 5% |
| Marshall Browning Hospital Association | 5% Or Greater Direct Ownership Interest | Nov 17, 2011 | 100% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Dentistry
- Du Quoin, IL
- NPI 1316117369
Corporate Director, Corporate Officer, W-2 Managing Employee
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
5% Or Greater Direct Ownership Interest
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshall Browning Hospital Physicians Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control (100%) |
May 1, 2009 Oct 1, 2006 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
Marshall Browning Hospital Association
Practitioners & affiliated clinicians
Practitioners 77
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- Herrin, IL
- NPI 1528042975
-
- Registered Dietitian
- Christopher, IL
- NPI 1346504131
-
- Physician Assistant
- Carbondale, IL
- NPI 1215483193
-
- Nurse Practitioner
- Carbondale, IL
- NPI 1043846421
-
- Family Nurse Practitioner
- Troy, IL
- NPI 1013686203
-
- Family Medicine Physician
- Pinckneyville, IL
- NPI 1790774826
-
- Podiatrist
- Du Quoin, IL
- NPI 1346372687
-
- Nurse Practitioner
- Herrin, IL
- NPI 1770295719
-
- Psychiatric/Mental Health Nurse Practitioner
- Du Quoin, IL
- NPI 1508252495
-
- Internal Medicine Physician
- Du Quoin, IL
- NPI 1538239520
-
- Certified Registered Nurse Anesthetist
- Carbondale, IL
- NPI 1578804001
-
- Surgery Physician
- Du Quoin, IL
- NPI 1568447092
Affiliated clinicians 119
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Herrin, IL
- NPI 1528042975
Hospital
-
- Clinical Cardiac Electrophysiology Physician
- Carbondale, IL
- NPI 1811304751
Hospital
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1568193654
Hospital
-
- Nurse Practitioner
- Carbondale, IL
- NPI 1720632508
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1821099441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N WASHINGTON ST",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628321233",
"telephone_number": "618-542-2146",
"fax_number": "618-542-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N WASHINGTON ST",
"address_2": "BOX 192",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628321230",
"telephone_number": "618-542-2146",
"fax_number": "618-542-4756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
"enumeration_date": "2005-08-04",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"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": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IL",
"license": "0001388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "244",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "188370",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "L026537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "005922",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "7315813",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Quoin, IL
- Marion VA Hospital
- Dean Marlow, BSW
- Marshall Browning Hospital Association (Marshall Browning Hospital Physicians Clinic)
- Marshall Browning Hospital Association
- Marshall Browning Hospital Association
- Marshall Browning Hospital Association
- Marshall Browning Hospital Association (MBH East Medical Clinic)
- Mary Marshall, LPN
- Tori Laine Mathis, LPN
- Teresa McBride, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.