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RICHLAND MEMORIAL HOSPITAL INC NPI 1700063179


NPI Information

NPI: 1700063179
Provider Name: RICHLAND MEMORIAL HOSPITAL, INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
800 E LOCUST ST
OLNEY, IL
ZIP 62450
Phone: (618) 395-7340
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RICHLAND MEMORIAL HOSPITAL, INC is an otolaryngology in Olney, IL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. RICHLAND MEMORIAL HOSPITAL, INC NPI is 1700063179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 E LOCUST ST
OLNEY, IL
ZIP 62450-553
Phone: (618) 395-7340

The provider's authorized official is Harry Brockus .
The authorized official title is Ceo and has the following contact phone number (618) 395-7340.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 12/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology036050750ILLINOISYes
2208600000XSurgery036060342ILLINOISNo
3208800000XUrology036119328ILLINOISNo
4363L00000XNurse Practitioner209004125ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108022315OTHERILLINOISBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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