Organization
RUTLEDGE JOINT VENTURES, LLC
Active
Other names
Heritage Health - Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
900 N RUTLEDGE ST, SPRINGFIELD, IL 62702-3721
(217) 789-0930
(217) 789-6465
Mailing address
115 W JEFFERSON ST, STE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-9512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041699
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0041699
IL
Other
Enumeration date
11/01/2005
Last updated
05/27/2014
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