Richland Memorial Hospital, Inc
Organization Active NPI General Acute Care Hospital · Olney, IL
NPI 1508932096 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1508932096
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- RICHLAND MEMORIAL HOSPITAL, INC
- Practice address
- 800 E Locust St
Olney, IL 62450-2553 - Phone
- (618) 395-7340
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Harry Brockus
- Title
- Ceo
- Phone
- (217) 283-8540
Other NPIs on the same Medicare enrollment 6
Practitioners 5
-
Brent Kaufmann, MD
-
Robert E. Nash, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811000131 | IL | Part B Supplier - Clinic/Group Practice | 3870565732 |
Receives reassigned benefits from 300 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flora, IL; West Salem, IL; Urbana, IL; Robinson, IL; Olney, IL; Newton, IL; Mount Carmel, IL; Lawrenceville, IL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
800 E Locust St
Olney, IL 62450-2553
Mailing address
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L041056 | Other | IL | TRICARE PRO FEE PROVIDER |
| 283653 | Other | IL | HEALTHLINK PRO FEE PROVID |
| 08022315 | Other | IL | BLUE SHIELD PROVIDER NUMB |
Other providers in Olney, IL
- Richland Memorial Hospital
- Richland Memorial Hospital Inc
- Richland Memorial Hospital Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc
- Richland Memorial Hospital, Inc.
All providers in Olney, IL · General Acute Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. 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.