Organization
MARION HOSPITAL CORPORATION
Active
Other names
Heartland Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS)
(615) 221-3840
Entity
Organization
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(618) 998-7000
Mailing address
PO BOX 60545, SAINT LOUIS, MO 63160-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0005288
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003558
HEALTH ALLIANCE
—
01
—
0068098
UMWA
—
01
—
0140184
ACCESS MED PLUS
—
01
—
0298
BCBS
—
01
—
030050300
BLACK LUNG
—
01
—
107233
HEALTHLINK
—
01
—
4908
GROUP HEALTH PLAN
—
Enumeration date
01/30/2006
Last updated
09/03/2020
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