NPIMap

Organization Active NPI

Deaconess Illinois Red Bud Regional Hospital Inc

Doing business as Red Bud Regional Hospital

  • Critical Access Hospital
  • Red Bud, IL
National Provider Identifier
1407573132
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC
Doing business as
Red Bud Regional Hospital
Practice address
325 Spring St
Red Bud, IL 62278-1105
Phone
(618) 282-6101
Fax
(618) 282-3831
NPI assigned
Oct 24, 2022
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Jason Andrew Hinkle
Title
Cfo
Phone
(618) 998-7020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
General Acute Care Hospital 282N00000X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

325 Spring St
Red Bud, IL 62278-1105

Mailing address

PO Box 631946
Cincinnati, OH 45263-1946
Phone (812) 450-6815

Other names 1

  • Red Bud Regional Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230313000598 IL Part A Provider - Critical Access Hospital 9537531579 Practice locations: Red Bud, IL
O20230313001680 IL Part A Provider - Critical Access Hospital 9537531579 Practice locations: Red Bud, IL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1407573132. Details of each certification follow.

Hospital certification: CCN 141348

Legal name
DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC
Doing business as
RED BUD REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2005
Last certification
Jul 14, 2006
Beds
25
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 14, 2023 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
325 Spring St
Red Bud, IL 62278-1105
Hospital Swing-Bed Unit

Hospital certification: CCN 14Z348

Legal name
DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC
Doing business as
RED BUD REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 2022 in IL
Enrollment address
325 Spring St
Red Bud, IL 62278-1105
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Red Bud Regional HospitalCCN 141348 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Illinois Red Bud Regional Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Hinkle Individual Contracted Managing EmployeeAd; Nov 1, 2025 20%
Corporate DirectorChief Financial Officer Nov 1, 2025 20%
Anthony Wielt Individual Corporate OfficerTreasurer Aug 1, 2023 100%
Corporate DirectorBoard Member Aug 1, 2023 20%
Marc J Florence Individual Corporate DirectorDirector Oct 3, 2022
Clifford E Morris Individual Corporate OfficerSecretary Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
William Davis Individual Corporate OfficerPresident Dec 1, 2023 100%
Deaconess Health System Inc Organization, Evansville, IN Corporation, Non-profit Other Jan 14, 2023 100%
Jeffrey a Justice Individual Corporate DirectorBoard Member Dec 12, 2022 20%
Stephen T Titzer Individual Corporate OfficerChair Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
Shawn W McCoy Individual OtherCeo - Chain Home Office Jan 14, 2023 100%
Harold G Clarida Individual Corporate OfficerVice Chair Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
Deaconess Regional Healthcare Services Illinois Inc Organization, Chicago, IL Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Oct 3, 2022 100%
Amber R Lipe Individual Contracted Managing Employee Aug 1, 2023 100%
Operational/Managerial ControlCfo Aug 1, 2023 100%
Lynn C Lingafelter Individual Corporate DirectorBoard Member Jul 31, 2023 20%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

Affiliated clinicians 91

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1407573132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631946",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631946",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "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": "618-282-6101",
            "fax_number": "618-282-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-998-7020"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "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

Sources for this page

Verify at the official NPI Registry.