Organization
SALEM TOWNSHIP HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TIMPE (PRESIDENT/CEO/CFO)
(618) 548-3194
Entity
Organization
Contact information
Practice address
1201 RICKER DRIVE, SALEM, IL 62881
(618) 548-3194
(618) 740-0122
Mailing address
1201 RICKER DRIVE, SALEM, IL 62881
(618) 548-3194
(618) 548-0924
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0002089
IL
282NR1301X
Rural Acute Care Hospital
0002089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0183
BLUE CROSS HOSPITAL
IL
01
—
102929
HEALTHLINK
IL
01
—
5286399
UNITED HEALTHCARE
IL
Enumeration date
06/02/2005
Last updated
08/01/2024
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