Organization
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Active
Parent organization
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Other names
Red Bud Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-3831
(618) 282-6101
Mailing address
PO BOX 503891, SAINT LOUIS, MO 63150-3891
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0005199
IL
Other
Enumeration date
02/01/2006
Last updated
08/11/2020
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