Organization
RICHLAND MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BROCKUS (CEO)
(618) 395-7340
Entity
Organization
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0976
BLUE CROSS
IL
Enumeration date
06/15/2006
Last updated
12/22/2020
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