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Organization

RED BUD ILLINOIS HOSPITAL COMPANY LLC

Active
Other names
Red Bud Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization

Contact information

Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-3831
Mailing address
PO BOX 503891, SAINT LOUIS, MO 63150-3891

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0005199
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003560
HEALTH ALLIANCE
01
012793
BC MO
01
105775
HEALTHLINK
01
43183
GROUP HEALTH PLAN
01
50021
BCBS
01
5007007
UNITED HEALTHCARE
Enumeration date
02/01/2006
Last updated
08/11/2020
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