Organization
SAINT ELIZABETH'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RUDOLPH BOUSE B.S. (STAFF OCCUPATIONAL THERAPIST)
(618) 234-2120
Entity
Organization
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
772 GLEN MOR, BELLEVILLE, IL 62221-3482
(318) 277-1951
(618) 277-3738
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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