| Gateway Regional Medical Center | |
|
2100 Madison Ave Granite City IL 62040-4701 | |
| (618) 798-3000 | |
| (618) 798-3724 |
| Full Name | Gateway Regional Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Authorized Official Name and Position | Tara Peek Richardson (VP OF PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Regional Medical Center Po Box 503706 St. Louis MO 63150-3706 Ph: () - | Gateway Regional Medical Center 2100 Madison Ave Granite City IL 62040-4701 Ph: (618) 798-3000 |
| NPI Number | 1083685986 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083685986 | NPI | - | NPPES |
| 010779809 | Other | MO | MO MCAID |
| 10685 | Other | ALLIANCE | |
| 10685 | Other | BC MO | |
| 5020040 | Other | HARRINGTON | |
| 103244 | Other | HEALTHLINK PPO | |
| 50040 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0005223 (Illinois) | Secondary |
| 282N00000X | General Acute Care Hospital | 0005223 (Illinois) | Primary |
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