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RED BUD REGIONAL HOSPITAL
NPI 1184695611
Medicare Defined Swing Bed Unit in Red Bud, IL

Active since February 01, 2006CLIA 14D0434478 · Accreditation
325 SPRING ST, RED BUD, IL 62278(618) 282-3831(618) 282-6101 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red Bud Regional Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED BUD REGIONAL HOSPITAL (NPI 1184695611) is a healthcare organization registered as a medicare defined swing bed unit in Red Bud, Illinois and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Randy Michael Cooper, Svp Finance Op/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184695611
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameRED BUD ILLINOIS HOSPITAL COMPANY LLC
Location Address325 SPRING STRed Bud, IL 62278-1105
Mailing AddressPo Box 503891Saint Louis, MO 63150-3891
Phone(618) 282-3831
Fax(618) 282-6101
Organization SubpartYes
Authorized OfficialRandy Michael CooperSvp Finance Op/authorized Official · (615) 221-3840
Enumeration DateFebruary 1, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1184695611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in IL · 0005199
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
325 SPRING ST, Red Bud, IL 62278
Open in Google Maps ↗

Other Names 1

Doing Business AsRed Bud Regional Hospital

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0434478

Red Bud Regional Hospital Deaconess Illinois Red Bud Regional Hospital Inc · Red Bud, IL
Active · expires Jan 2, 2027
CLIA Number14D0434478
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorPamella S. Gronemeyer
Laboratory Phone(618) 282-5219
Laboratory LocationRed Bud Regional Hospital Deaconess Illinois Red Bud Regional Hospital Inc325 Spring Street, Red Bud, IL 62278
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LORIN TAYLOR HAWKINS DNP, FNP-C
Nurse Practitioner (Family)
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-7373
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Emergency Medicine
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-3831
DR. ABBY LEA HARRIS M.D.
Family Medicine
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-7373
RED BUD CLINIC CORP
Family Medicine
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-3831
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Clinic/Center (Rural Health)
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-7373
MR. EARL GENE DRAVES CRNA
Nurse Anesthetist, Certified Registered
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-3831
AMY LYNN ROHLFING MD
Internal Medicine (Geriatric Medicine)
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-7373
MURIEL KATHLEEN BRUMLEY CCC-SLP
Speech-Language Pathologist
325 SPRING ST
RED BUD, IL 62278
Randolph County (618) 282-3831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Bud Illinois Hospital Company LLC's NPI number?

The NPI number for Red Bud Illinois Hospital Company LLC is 1184695611. It was assigned to this organization in the NPPES registry on February 1, 2006. The provider is doing business as Red Bud Regional Hospital.

Where is Red Bud Illinois Hospital Company LLC located?

Red Bud Illinois Hospital Company LLC is located at 325 Spring St, Red Bud, IL 62278. The listed phone number is (618) 282-3831.

What is Red Bud Illinois Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Red Bud Illinois Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0434478) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Red Bud Illinois Hospital Company LLC was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.