FAMILY MEDICAL CENTER
NPI 1033372735
Clinic/Center - Rural Health in Pinckneyville, IL

Q: What is Pinckneyville Community Hospital's NPI number?

The NPI number for Pinckneyville Community Hospital is 1033372735. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is doing business as Family Medical Center.

Q: What is Pinckneyville Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 03, 2008CLIA Certified · 3 labs

101 N WALNUT ST, PINCKNEYVILLE, IL 62274(618) 357-2187(618) 357-6740 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICAL CENTER (NPI 1033372735) is a healthcare organization registered as a rural health in Pinckneyville, Illinois and active in the NPI registry since July 2008. The organization holds 3 active CLIA laboratory certificates and lists Kara Jo Carson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033372735

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePINCKNEYVILLE COMMUNITY HOSPITAL

Location Address101 N WALNUT STPinckneyville, IL 62274-1034

Mailing Address101 N Walnut StPinckneyville, IL 62274-1034 · (618) 357-2187 · Fax (618) 357-6740

Phone(618) 357-2187

Fax(618) 357-6740

Organization SubpartYes

Authorized OfficialKara Jo CarsonCfo · (618) 357-2187

Enumeration DateJuly 3, 2008

✔ NPI 1033372735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

101 N WALNUT ST, Pinckneyville, IL 62274

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Other Names 1

Doing Business AsFamily Medical Center

Other Identifiers 1

Medicaid=========6227407IL

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0922679

Pinckneyville Community Hospital Dist · Pinckneyville, IL

Active · expires Dec 3, 2026

CLIA Number14D0922679

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateDecember 4, 2024

Certificate Expiration DateDecember 3, 2026

Laboratory DirectorEva Hopp

Laboratory Phone(618) 357-2187

Laboratory LocationPinckneyville Community Hospital Dist5383 State Route 154 - PO Box 437, Pinckneyville, IL 62274

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0906748

Family Medical Center/Pinckneyville Community Hospital · Pinckneyville, IL

Active · expires Jan 30, 2027

CLIA Number14D0906748

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 31, 2025

Certificate Expiration DateJanuary 30, 2027

Laboratory DirectorGregg Fozard MD

Laboratory Phone(618) 357-5902

Laboratory LocationFamily Medical Center/Pinckneyville Community Hospital5383 State Route 154, Pinckneyville, IL 62274

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 14D0434461

Pinckneyville Community Hospital · Pinckneyville, IL

Active · expires Sep 10, 2026

CLIA Number14D0434461

Laboratory TypeHospital

Certificate Effective DateSeptember 11, 2024

Certificate Expiration DateSeptember 10, 2026

Laboratory DirectorDr. Stephen E. Godfrey

Laboratory Phone(618) 357-8800

Laboratory LocationPinckneyville Community Hospital5383 State Route 154, Pinckneyville, IL 62274

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINCKNEYVILLE COMMUNITY HOSPITAL

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