| NPI | 1619693926 |
|---|---|
| Doing Business As | DEACONESS ILLINOIS RURAL HEALTH CLINIC RED BUD |
| Doing Business As | RED BUD HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMBER LIPE CFO 618-998-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-01-05 |