Organization Name: | RED BUD ILLINOIS HOSPITAL COMPANY LLC |
NPI Number: | 1154625606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA P RICHARDSON (VP PATIENT FINANCIAL SERVICES) |
Mailing Address: | 325 Spring St Red Bud |
State: | IL US |
Postal Code: | 622781105 |
Phone Number: | 6182827373 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2010 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |