| Richland Memorial Hospital, Inc. | |
|
100 S Main St West Salem IL 62476-1202 | |
| (618) 456-3727 | |
| (618) 456-3774 |
| Full Name | Richland Memorial Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S Main St, West Salem, Illinois |
| Authorized Official Name and Position | Harry Brockus (CEO) |
| Authorized Official Contact | 6183957340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Memorial Hospital, Inc. 800 E Locust St Olney IL 62450-2553 Ph: (618) 395-7340 | Richland Memorial Hospital, Inc. 100 S Main St West Salem IL 62476-1202 Ph: (618) 456-3727 |
| NPI Number | 1922475037 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 3870565732 |
|---|---|
| Medicare Enrollment ID | O20151006000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922475037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Practice Assoc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S Main St, West Salem, IL 62476 Phone: 618-456-3727 Fax: 618-456-3774 | |
Rmh Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Main St, West Salem, IL 62476 Phone: 618-456-3727 Fax: 618-456-3774 |