| Carlinville Area Hospital Association | |
|
1611 N Springfield St Virden IL 62690 | |
| (217) 854-3819 | |
| (217) 965-7113 |
| Full Name | Carlinville Area Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 N Springfield St, Virden, Illinois |
| Authorized Official Name and Position | Brian D. Burnside (CEO) |
| Authorized Official Contact | 2178543141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlinville Area Hospital Association 20733 N Broad St Carlinville IL 62626-3710 Ph: (217) 854-3141 | Carlinville Area Hospital Association 1611 N Springfield St Virden IL 62690 Ph: (217) 854-3819 |
| NPI Number | 1447691571 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 05/06/2025 |
| Medicare PECOS PAC ID | 9032021373 |
|---|---|
| Medicare Enrollment ID | O20131017000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447691571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Vittal V Chapa Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 E Dean St, Virden, IL 62690 Phone: 217-965-5481 Fax: 217-965-5640 |