Granite City Illinois Hospital Company LLC

NPI #1083685887 in Granite City, Illinois

Provider Information

NPI Number
1083685887
Entity Type
Organization
Organization Name
Granite City Illinois Hospital Company LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC
Primary Specialty
Rehabilitation Unit
Enumeration Date
Jan 30, 2006
Last Updated
Sep 3, 2020

Practice Location

Address
2100 MADISON AVE
ZIP Code
62040-4701
Phone
(618) 798-3000

Authorized Official

Name
RANDY MICHAEL COOPER
Title
SVP FINANCE OPERATIONS/AO
Phone
(615) 221-3840

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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