| NPI | 1629469002 |
|---|---|
| Other Name | RANDOLPH HOSPITAL DISTRICT |
| Entity Type | Organization |
| Authorized Contact | MORGAN BENDORF CFO 618-826-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-051292) |
| 207Q00000X Family Medicine (Licence: IL 036-052369) | |
| 207Q00000X Family Medicine (Licence: IL 036-130378) | |
| 207Q00000X Family Medicine (Licence: IL 036-087561) | |
| 208600000X Surgery (Licence: IL 036-127160) | |
| 208600000X Surgery (Licence: IL 036-046019) | |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: IL 0001495) | |
| 363A00000X Physician Assistant (Licence: IL 085-003568) | |
| 363A00000X Physician Assistant (Licence: IL 085-003575) | |
| 363L00000X Nurse Practitioner (Licence: IL 209-009681) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-149926) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-009387) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2024-10-11 |