NPIMap

Organization Active NPI

Red Bud Illinois Hospital Company LLC

Doing business as Red Bud Health Clinic

  • Rural Health Clinic/Center
  • Red Bud, IL
National Provider Identifier
1154625606
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Doing business as
Red Bud Health Clinic
Practice address
325 Spring St
Red Bud, IL 62278-1105
Phone
(618) 282-7373
NPI assigned
Dec 27, 2010
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RED BUD ILLINOIS HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Laura J Fey
Title
Sr. Director Physician Rev Cycle
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

325 Spring St
Red Bud, IL 62278-1105

Mailing address

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-7373

Other names 1

  • Red Bud Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Red Bud Illinois Hospital Company LLC

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 14, 2023 Change of OwnershipThis provider was the seller Red Bud Health ClinicCCN 148514, IL, NPI 1619693926

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1154625606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUD ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED BUD ILLINOIS HOSPITAL COMPANY LLC",
        "enumeration_date": "2010-12-27",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Bud Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bud, IL

Sources for this page

Verify at the official NPI Registry.