RICHLAND MEMORIAL HOSPITAL, INC (NPI# 1467492124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467492124 |
| Entity Type | Organization |
| Organization Name | RICHLAND MEMORIAL HOSPITAL, INC |
| Practice Address |
800 E Locust St Olney IL 62450-2553 |
| Practice Telephone | 6183957340 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | HARRY BROCKUS (CEO) |
| Authorized Official Telephone | 2172838540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLACK LUNG | 037381600 | 01 |
| IL | DEPT OF LABOR | 368243500 | 01 |
| IL | TRICARE | L041054 | 01 |
| IL | METRA HEALTH | 87726 | 01 |
| IL | BLUE CROSS | 0267 | 01 |
| IL | USA HEALTH & WELFARE | 135995 | 01 |
| IL | HEALTH ALLIANCE | 003572 | 01 |
| IL | V A | 376016979 | 01 |
| IL | 106919 | HEALTHLINK | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104093590 | Richland Memorial Hospital, Inc | Otolaryngology | 76 W Airline Dr, East Alton, IL 62024-1681 | 2008-05-14 |
| 1235790940 | Richland Memorial Hospital, Inc | Durable Medical Equipment & Medical Supplies | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-24 |
| 1952961997 | Richland Memorial Hospital, Inc | Pharmacy | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-20 |
| 1326566290 | Richland Memorial Hospital, Inc | Clinic/Center | 605 E Main St, Olney, IL 62450-2163 | 2017-08-31 |
| 1700063179 | Richland Memorial Hospital, Inc | Surgery | 800 E Locust St, Olney, IL 62450-2553 | 2008-01-28 |
| 1508932096 | Richland Memorial Hospital, Inc | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2006-11-27 |
| 1740224344 | Richland Memorial Hospital, Inc | Skilled Nursing Facility | 800 E Locust St, Olney, IL 62450-2553 | 2006-06-15 |
| 1821032525 | Richland Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 800 E Locust St, Olney, IL 62450-2553 | 2006-06-15 |
| 1528014834 | Richland Memorial Hospital, Inc | Psychiatric Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2006-05-26 |
| Street Address |
800 E LOCUST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252511 | Paul W Sutherland | Surgery | 800 E Locust St, Olney, IL 62450-2553 | 2005-11-16 |
| 1174142665 | Samantha A Lewis | Speech-Language Pathologist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-14 |
| 1972132991 | Clinton David Rauch | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1629607544 | Ladi Stallard | Physical Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1770111999 | Kelsey Lynn Runyon | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1801424957 | Katrina Williams | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1700414877 | Whitley Dawn Houchin | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1073143475 | Arrow Ambulance, LLC | Ambulance | 800 E Locust St, Olney, IL 62450-2553 | 2020-01-24 |
| 1003452095 | Shay N Farris | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2019-11-25 |
| 1043861883 | Kelsie Ann Harper | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2019-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134137466 | Olney Hamilton Hospital District | General Acute Care Hospital | 901 W Hamilton St, Olney, TX 76374-1725 | 2006-08-03 |
| 1114922341 | Montgomery General Hospital, Inc. | General Acute Care Hospital | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2005-06-15 |
| 1881963544 | Phs Orhthopaedics Olney | General Acute Care Hospital | 18111 Prince Philip Dr, Suite 208, Olney, MD 20832-1513 | 2011-12-23 |
| 1003131327 | Richland Memorial Hospital | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2010-03-30 |
| 1770610073 | Richland Memorial Hospital | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2007-02-27 |
| 1497882799 | Richland Memorial Hospital | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2007-02-27 |
| 1306973607 | Richland Memorial Hospital | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2007-02-27 |
| 1508932096 | Richland Memorial Hospital, Inc | General Acute Care Hospital | 800 E Locust St, Olney, IL 62450-2553 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.