Organization Name: | RICHLAND MEMORIAL HOSPITAL, INC. |
NPI Number: | 1053792689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ALLEN (CEO) |
Mailing Address: | 1200 N East St Olney |
State: | IL US |
Postal Code: | 624502432 |
Phone Number: | 6183922940 |
Fax Number: | 6183927225 |
NPI Enumeration Date: | 06/09/2015 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |