| Organization Name: | GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC |
| NPI Number: | 1083685887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TARA P RICHARDSON (AUTHORIZED OFFICIAL) |
| Mailing Address: | 2100 Madison Ave Granite City |
| State: | IL US |
| Postal Code: | 620404701 |
| Phone Number: | 6187983000 |
| Fax Number: | 6187983724 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273Y00000X |
| License Number: | 1010199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient |