Carlinville Area Hospital Association
Organization Active NPI Critical Access Hospital · Carlinville, IL
NPI 1932275641 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1932275641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 0000182 (IL)
- Legal business name
- CARLINVILLE AREA HOSPITAL ASSOCIATION
- Practice address
- 20733 N Broad St
Carlinville, IL 62626-3710 - Phone
- (217) 854-3141
- Fax
- (217) 854-8566
- NPI assigned
- Nov 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MIDDLE MACOUPIN HEALTHCARE SYSTEMS
Authorized official
- Name
- Brian D. Burnside
- Title
- Ceo
- Phone
- (217) 854-3141
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 5
Practitioners 83
-
Bhuvnesh Aggarwal, M.D.
-
Rebbecca Camerer, NP
-
Ian Caleb Cox, LCPC
-
Brittani M. Cunningham, NP-C
-
Mary M. Damery, CRNA
-
Tamra L Domescik-Rink, CRNA
-
Daniel M Hallam, M.D.
-
Jessica Lynne Heil, MSN, FNP-C
-
Ruth Renee Holley, APN
-
Stephanie M Johnson, APRN
-
Harald Lausen, D.O.
-
Susan Lees, CRNA
-
Anna Maria Lentini, APN
-
Shona Jo Quick, FNP
-
Ashley K Simons, DNP FNP-C
-
Carol Ann Slazinik, CRNA
-
Sherry Ann Slifer, FNP
-
Brian Stoops, LCSW
-
Ashley R Talkington, APN-BC
-
Abigail S White, MD
-
Brian M Hill, CRNA
-
Thomas Hatley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Carlinville Family Health Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 18, 2013 Nov 26, 2002 |
| Virden Family Health Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000520 | IL | Part B Supplier - Clinic/Group Practice | 9032021373 |
Receives reassigned benefits from 77 practitioners 3 other NPIs on this enrollment Practice locations: Carlinville, IL; Gillespie, IL; Girard, IL; Virden, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 0000182 | IL | Yes |
Addresses
Primary practice location
20733 N Broad St
Carlinville, IL 62626-3710
Mailing address
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141
Other names
- Carlinville Area Hospital
Other providers in Carlinville, IL
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Chiropractic Clinic LTD
- Carlinville Community Unit School District #1
- Carlinville Eye Care PC
- Carlinville Health & Prescription Services
All providers in Carlinville, IL · Critical Access Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.