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Organization
DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC
Active
Organization
DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC
Active
Other names
Red Bud Health Clinic, Deaconess Illinois Rural Health Clinic Red Bud
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LIPE (CFO)
(618) 998-7020
Entity
Organization
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-7373
(618) 282-7376
Mailing address
PO BOX 34143, BELFAST, ME 04915-0619
(812) 450-6815
(815) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/18/2022
Last updated
01/05/2024
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