Richland Memorial Hospital, Inc
Organization Active NPI Community/Retail Pharmacy · West Salem, IL
NPI 1235790940 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1235790940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RICHLAND MEMORIAL HOSPITAL, INC
- Practice address
- 108 S Main St
West Salem, IL 62476-1202 - Phone
- (618) 456-3716
- Fax
- (618) 456-2029
- NPI assigned
- Jun 24, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- THE CARLE FOUNDATION
Authorized official
- Name
- Christina Bare
- Title
- Director Business Operations
- Phone
- (618) 395-6073
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 9
Practitioners 107
-
Naveed A Adoni I, MD
-
Michael Aref, MD
-
Loranda Lee Banker, MS,RD,LDN
-
Christopher Baptist, D.P.M.
-
Brian Robert Beeman, M.D.
-
Mark Thomas Behnam, M.D.
-
Makayla Bogard, NP-C
-
Andrea Brasch, MD
-
Laura Browning, PA
-
Kelcy Marie Carlson, PMHNP-BC
-
Benjamin Shawn Curtis, CRNA
-
Thomas Deschler, MD
-
Thomas Falcone, CRNA
-
Yekaterina Fayn, MD
-
Raymond Fisher, M.D.
-
John D Fulk, P.A.
-
Nona P Fulk, M.D.
-
Anuj Garg, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200409002326 | IL | DME Supplier - Pharmacy | 3870565732 | Practice locations: West Salem, IL |
National Provider Directory
- Tax ID family
- Richland Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
108 S Main St
West Salem, IL 62476-1202
Mailing address
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
Other names
- THE APOTHECARY SHOPPE
Other providers in West Salem, IL
- Emily Brown
- Harry Timothy Garrett
- Gail Greathouse
- Kelly Rayhill Johnson
- Stormi T Raines
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc.
- Richland Memorial Hospital, Inc.
- West Salem Clinic LTD
All providers in West Salem, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.