Richland Radiology LTD

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

RICHLAND RADIOLOGY LTD

Practice address

326 W 3Rd Street
Mount Carmel, IL 62863

Phone

(618) 262-7303

Fax

(618) 262-2304

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Enrique V Bouffard III, MD

Title

President

Phone

(618) 262-7303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1316055130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MT CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-262-7303",
            "fax_number": "618-262-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 3RD STREET",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-262-7303",
            "fax_number": "618-262-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "BOUFFARD",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-262-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kay Pinkston, NP
• Virgil L Potts, D.C.
• Brenda Rae Questelle, COTA
• Rehabcare
• Barbara Rexing, R.PH.
• Taleigh Ricketts, BA
• Kimberly J Rivers
• Stephanie A Rye, LMT
• S B Jani MD PC
• S E Illinois Counseling CTRS Inc

• Radiology Clinic/Center in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.