NPIMap

Organization Active NPI

Richland Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • West Salem, IL
National Provider Identifier
1922475037
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RICHLAND MEMORIAL HOSPITAL, INC.
Practice address
100 S Main St
West Salem, IL 62476-1202
Phone
(618) 456-3727
Fax
(618) 456-3774
NPI assigned
Aug 24, 2015
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Gina Thomas
Title
Ceo
Phone
(618) 395-7340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

100 S Main St
West Salem, IL 62476-1202

Mailing address

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20151006000521 IL Part A Provider - Rural Health Clinic 3870565732 Practice locations: West Salem, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922475037. Details of each certification follow.

Rural health clinic certification: CCN 148548

Legal name
RICHLAND MEMORIAL HOSPITAL INC
Doing business as
CARLE RMH WEST SALEM RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2015
Last certification
Apr 18, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1996 in IL
Enrollment address
100 S Main St
West Salem, IL 62476-1202
Related CCNs
140147

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Richland Memorial Hospital Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Brian L Atwood Individual Corporate DirectorBoard Member Jan 1, 2019
Steven T Thomson Individual Corporate DirectorBoard Member Oct 1, 2022
Larry D Dunn Individual Corporate Director Oct 26, 2021
Tanner M Miller Individual Corporate DirectorBoard Member Jan 1, 2022
Raymond L Fisher Individual Corporate DirectorBoard Member Oct 1, 2020
Sherry L Geier Individual Corporate DirectorBoard Member Oct 26, 2021
Bernard Eugene Brauer Individual Corporate DirectorBoard Member Oct 1, 2022
Regina Rachel Thomas Individual Corporate OfficerInterim President/Ceo Mar 4, 2021
W-2 Managing EmployeeInterim President/Ceo Mar 4, 2021
Jennifer Cummins-Zuber Individual Corporate DirectorBoard Member Oct 23, 2018
Gary Houchin Individual Corporate DirectorBoard Member Oct 23, 2018
Patricia Lynn Kessler-Bookhout Individual Corporate DirectorBoard Member Oct 1, 2019
The Carle Foundation Organization, Urbana, IL Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Matthew Craig Kolb Individual Corporate DirectorBoard Member Jun 7, 2019
Christina Bare Individual W-2 Managing EmployeeDirector of Business Operations Nov 19, 2016
James C Leonard Individual OtherCeo Sep 28, 2007

Owners & managing parties with NPI records 4

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

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1922475037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E LOCUST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502553",
            "telephone_number": "618-395-7340",
            "fax_number": "618-395-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624761202",
            "telephone_number": "618-456-3727",
            "fax_number": "618-456-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-395-7340"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, IL

Sources for this page

Verify at the official NPI Registry.