Richland Memorial Hospital, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

RICHLAND MEMORIAL HOSPITAL, INC

Practice address

76 W Airline Dr
East Alton, IL 62024-1681

Phone

(618) 259-8785

NPI assigned

May 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David B Allen

Title

Ceo

Phone

(618) 395-7340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RMH PROFESSIONAL SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Richland Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Olney, IL
  • NPI 1326566290

  O20040811000131

  Same enrollment
• Richland Memorial Hospital, Inc

  • Critical Access Hospital
  • Olney, IL
  • NPI 1467492124

  O20040811000131

  Same enrollment
• Richland Memorial Hospital, Inc

  • General Acute Care Hospital
  • Olney, IL
  • NPI 1508932096

  O20040811000131

  Same enrollment
• Richland Memorial Hospital, Inc

  • Otolaryngology Physician
  • Olney, IL
  • NPI 1700063179

  O20040811000131

  Same enrollment
• Richland Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Olney, IL
  • NPI 1053792689

  O20040811000131

  Same enrollment
• Richland Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • West Salem, IL
  • NPI 1922475037

  O20040811000131

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niranat Dejtiranukul, M.D.

  • Otolaryngology Physician
  • Olney, IL
  • NPI 1013049212

  Otolaryngology

  NPD (past)
• Paul W Sutherland, MD

  • Surgery Physician
  • Olney, IL
  • NPI 1649252511
  NPD (past)
• Mary Melanie Waller, MD

  • Urology Physician
  • Olney, IL
  • NPI 1225024615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1104093590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624500097",
            "telephone_number": "618-395-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W AIRLINE DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241681",
            "telephone_number": "618-259-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-395-7340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "08022315",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMH PROFESSIONAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in East Alton, IL
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.