NPIMap

Organization Active NPI

Marshall Browning Hospital Association

Doing business as MBH East Medical Clinic

  • Rural Health Clinic/Center
  • Du Quoin, IL
National Provider Identifier
1912490277
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Doing business as
MBH East Medical Clinic
Marshall Browning Family Health Center
Practice address
916 N Washington St
Du Quoin, IL 62832-1200
Phone
(618) 790-7401
NPI assigned
Jun 12, 2018
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHALL BROWNING HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mr. Daniel Eaves
Title
Ceo
Phone
(618) 542-1005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Rural Health Clinic/Center 261QR1300X IL Primary

Addresses

Primary practice location

916 N Washington St
Du Quoin, IL 62832-1200

Mailing address

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

Other names 2

  • MBH East Medical Clinic Doing business as
  • Marshall Browning Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180830001728 IL Part A Provider - Rural Health Clinic 9335049980 1 other NPI on this enrollment
Practice locations: Du Quoin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912490277. Details of each certification follow.

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
OtherNon-profit
Enrollment address
916 N Washington St
Du Quoin, IL 62832-1200
Related CCNs
141331

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2286294MBH East Medical Clinic916 N Washington St, Du Quoin, IL 62832Certificate of waiverJul 25, 2027

National Provider Directory

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

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William C Place Individual Corporate DirectorBoard Member Sep 1, 2017
Daniel H Eaves Individual Corporate Director Sep 30, 2021 5%
Brooke Feltmeyer Individual W-2 Managing EmployeeClinic Manager Apr 14, 2025
Bradley K Galli Individual Corporate DirectorBoard Member Sep 1, 2011
Steve Marek Individual Corporate DirectorBoard Member Mar 1, 2021 5%
Richard K Haines Individual Corporate DirectorBoard Member Sep 1, 1996
Harold Calderon Individual Corporate OfficerCfo Jan 1, 2020 5%
W-2 Managing EmployeeCfo Jan 1, 2020 5%
Isaac E Davison Individual Corporate OfficerCfo Jan 1, 2020 5%
W-2 Managing EmployeeCfo Jan 1, 2020 8%
David Searby Individual Corporate DirectorBoard Member Sep 1, 2010
Donald L Hoffman Individual Corporate DirectorBoard Member Sep 1, 2007
Carolyn Celeste Gibson Individual Corporate DirectorBoard Member Sep 28, 2020 5%
Guy H Alongi Individual Corporate DirectorBoard Member Sep 1, 2017
Sandy Jones Individual Corporate Director Mar 1, 2021 5%
Tracy Fenton Individual Corporate DirectorBoard Member Mar 1, 2021 5%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshall Browning HospitalDu Quoin, IL, CCN 14Z331 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2011
Marshall Browning Hospital Physicians ClinicDu Quoin, IL, CCN 148504 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 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
Jun 28, 2019 Change of OwnershipThis provider was the buyer Craig W Furry MDCCN 148924, IL, NPI 1609864750

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1912490277",
    "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": "916 N WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321200",
            "telephone_number": "618-790-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-542-1005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBH East Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Browning Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Quoin, IL

Sources for this page

Verify at the official NPI Registry.