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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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