Granite City Illinois Hospital Company LLC
NPI #1720059520 in Granite City, Illinois
Provider Information
- NPI Number
- 1720059520
- 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
- Skilled Nursing Facility
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Apr 26, 2016
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4701
- Phone
- (618) 798-3000
Authorized Official
- Name
- TARA P RICHARDSON
- Title
- AUTHORIZED OFFICIAL
- Phone
- (615) 221-3672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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