DEACONESS ILLINOIS RURAL HEALTH CLINIC RED BUD - NPI 1619693926

Q: What is Deaconess Illinois Red Bud Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About Deaconess Illinois Rural Health Clinic Red Bud NPPES

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

DEACONESS ILLINOIS RURAL HEALTH CLINIC RED BUD (NPI 1619693926) is a healthcare organization registered as a rural health in Red Bud, Illinois and active in the NPI registry since October 2022. The organization lists Amber Lipe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619693926

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameDEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC

Location Address325 SPRING STRed Bud, IL 62278-1105

Mailing AddressPo Box 34143Belfast, ME 04915-0619 · (812) 450-6815 · Fax (815) 450-6822

Phone(618) 282-7373

Fax(618) 282-7376

Organization SubpartNo

Authorized OfficialAmber LipeCfo · (618) 998-7020

Enumeration DateOctober 18, 2022

Last NPPES UpdateJanuary 5, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1619693926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

325 SPRING ST, Red Bud, IL 62278

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Other Names 2

Doing Business AsDeaconess Illinois Rural Health Clinic Red Bud

Doing Business AsRed Bud Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)