Granite City Illinois Hospital Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1010199 Issued in IL

Legal business name

GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC

Practice address

2100 Madison Ave
Granite City, IL 62040-4701

Phone

(618) 798-3000

Fax

(618) 798-3724

NPI assigned

Jan 30, 2006

Organization subpart

Yes

Parent organization

GRANITE CITY ILLINOIS HOSPITAL COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Tara P Richardson

Title

Authorized Official

Phone

(615) 221-3672

Specialties & licenses 1

Addresses

Other names 1

• Gateway Regional Medical Center Doing business as

Part of

Gateway Regional Med

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Granite City Illinois Hospital Company LLC

  • General Acute Care Hospital
  • Granite City, IL
  • NPI 1083685986
  NPPES parent name

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1720059520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503706",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631503706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3000",
            "fax_number": "618-798-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granite City Home Care Services, LLC
• Granite City Home Care Services, LLC
• Granite City Illinois Hospital Company LLC
• Granite City Illinois Hospital Company LLC
• Granite City Illinois Hospital Company LLC
• Granite City Orthopedic Physicians Company LLC
• Granite City Physical Therapy LLC
• Granite City Physicians Corp
• Granite City Physicians Corp
• Granite City Psychiatry LLC

• Skilled Nursing Facility in Granite City, IL
• Providers in Granite City, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.