Organization
KENNETH HALL REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCMANUS (CHIEF OPERATING OFFICER)
(618) 274-1900
Entity
Organization
Contact information
Practice address
129 N 8TH ST, EAST SAINT LOUIS, IL 62201-2917
(618) 274-1900
(618) 482-7009
Mailing address
129 N 8TH ST, EAST SAINT LOUIS, IL 62201-2917
(618) 274-1900
(618) 482-7009
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0002667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143
BLUE CROSS OF ILLINOIS
IL
01
—
115992
HEALTHLINK
IL
01
—
240713
HARMONY HEALTH PLAN
IL
01
—
31264
GROUP HEALTH PLAN
IL
Enumeration date
12/13/2006
Last updated
08/22/2020
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