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Organization Active NPI

Carlinville Area Hospital Association

Doing business as Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
National Provider Identifier
1932275641
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0000182 Issued in IL
Legal business name
CARLINVILLE AREA HOSPITAL ASSOCIATION
Doing business as
Carlinville Area Hospital
Practice address
20733 N Broad St
Carlinville, IL 62626-3710
Phone
(217) 854-3141
Fax
(217) 854-8566
NPI assigned
Nov 27, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLE MACOUPIN HEALTHCARE SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Brian D. Burnside
Title
Ceo
Phone
(217) 854-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0000182 IL Primary

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 1

  • Carlinville Area Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Carlinville Family Health CareCarlinville, IL, CCN 148530 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 18, 2013
Nov 26, 2002
Virden Family Health CareVirden, IL, CCN 148532 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 83

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 83

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1932275641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20733 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263710",
            "telephone_number": "217-854-3141",
            "fax_number": "217-854-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20733 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263710",
            "telephone_number": "217-854-3141",
            "fax_number": "217-854-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLINVILLE AREA HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE MACOUPIN HEALTHCARE SYSTEMS",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-854-3141"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlinville Area Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlinville Area Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlinville, IL

Sources for this page

Verify at the official NPI Registry.