| NPI | 1871642439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH POOLE CFO 618-273-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IL 0005360) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207Q00000X Family Medicine | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-12-09 |