Active NPI
Red Bud Illinois Hospital Company LLC
Doing business as Red Bud Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Red Bud, IL
National Provider Identifier
1184695611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 0005199
- Legal business name
- RED BUD ILLINOIS HOSPITAL COMPANY LLC
- Doing business as
- Red Bud Regional Hospital
- Practice address
- 325 Spring St
Red Bud, IL 62278-1105 - Phone
- (618) 282-3831
- Fax
- (618) 282-6101
- NPI assigned
- Feb 1, 2006
- Last updated
- Aug 11, 2020
- Organization subpart
- Yes
- Parent organization
- RED BUD ILLINOIS HOSPITAL COMPANY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Op/Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 0005199 | IL | Primary |
Addresses
Primary practice location
325 Spring St
Red Bud, IL 62278-1105
Mailing address
PO Box 503891
Saint Louis, MO 63150-3891
Other names 1
- Red Bud Regional Hospital
National Provider Directory
National Provider Directory- Part of
- Red Bud Illinois Hospital Company LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1184695611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503891",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631503891"
},
{
"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": "618-282-3831",
"fax_number": "618-282-6101"
}
],
"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": "2006-02-01",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "IL",
"license": "0005199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Bud Regional Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Red Bud Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Red Bud, IL
- Aimee Kathleen Range, P.T.
- Red Bud Clinic Corp
- Red Bud Comm Unit School Dist 132
- Red Bud Home Care Services, LLC (Red Bud Regional Home Care)
- Red Bud Illinois Hospital Company LLC (Red Bud Health Clinic)
- Red Bud Illinois Hospital Company LLC (Red Bud Nursing Home)
- Red Bud Illinois Hospital Company LLC (Red Bud Regional Hospital)
- Red Bud Illinois Hospital Company, LLC (Red Bud Regional Hospital)
- Red Bud Illinois Hospital Company, LLC (Older Adult Health Center)
- Red Bud Physician Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.