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RICHLAND MEMORIAL HOSPITAL, INC
NPI 1700063179
Otolaryngology in Olney, IL

Active since January 28, 2008
800 E LOCUST ST, OLNEY, IL 62450(618) 395-7340 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2020, May 9, 2018, Apr 17, 2018 (3 updates tracked since 2018).

About Richland Memorial Hospital, Inc NPPES

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

RICHLAND MEMORIAL HOSPITAL, INC (NPI 1700063179) is a healthcare organization registered as an otolaryngology in Olney, Illinois and active in the NPI registry since January 2008. The organization lists Harry Brockus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700063179
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRICHLAND MEMORIAL HOSPITAL, INC
Location Address800 E LOCUST STOlney, IL 62450-2553
Mailing AddressPo Box 97Olney, IL 62450-0097 · (618) 395-7340
Phone(618) 395-7340
Organization SubpartNo
Authorized OfficialHarry BrockusCeo · (618) 395-7340
Enumeration DateJanuary 28, 2008
Last NPPES UpdateDecember 22, 20203 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1700063179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036050750
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSurgeryTaxonomy 208600000X · License 036060342 (IL)
Also ListedUrologyTaxonomy 208800000X · License 036119328 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209004125 (IL)
800 E LOCUST ST, Olney, IL 62450
Open in Google Maps ↗

Other Identifiers 1

Other08022315IL · Blue Shield

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richland Memorial Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

307

Medicare enrollment records show 307 clinicians reassign Medicare billing to Richland Memorial Hospital, Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Diagnostic Radiology64
Nurse Practitioner32
Emergency Medicine27
Pediatric Medicine27
Cardiovascular Disease (Cardiology)24
Obstetrics/Gynecology22
Internal Medicine21
Pathology13
25 other specialties77

Nearest to this location (20)

See all 307
John Allen
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417054438
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
Mark Behnam, M.D.
Obstetrics/Gynecology
NPI 1992995591
800 E LOCUST ST
Olney, IL 62450
(618) 392-1131
✔ PECOS✔ Accepts MedicareSame address
Makayla Bogard, NP-C
Nurse Practitioner
NPI 1972257681
800 E LOCUST ST
Olney, IL 62450
(618) 395-2131
✔ PECOS✔ Accepts MedicareSame address
Benjamin Curtis, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396017877
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
Thomas Falcone, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164814000
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
Yekaterina Fayn, MD
Internal Medicine
NPI 1699934471
800 E LOCUST ST
Olney, IL 62450
(618) 392-1139
✔ PECOS✔ Accepts MedicareSame address
Nona Fulk, M.D.
Obstetrics/Gynecology
NPI 1619974227
800 E LOCUST ST
Olney, IL 62450
(618) 392-9520
✔ PECOS✔ Accepts MedicareSame address
Alyssa Lewandowski, D.O
Family Practice
NPI 1053791848
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOSSame address
Justin Orenich, D.O.
General Surgery
NPI 1750615456
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
Parth Patel
Anesthesiology
NPI 1902394851
800 E LOCUST ST
Olney, IL 62450
(618) 395-2131
✔ PECOS✔ Accepts MedicareSame address
Trenton Titsworth, APN
Nurse Practitioner
NPI 1053039610
800 E LOCUST ST
Olney, IL 62450
(618) 395-2131
✔ PECOS✔ Accepts MedicareSame address
Sallie Vanblaricum, APN
Nurse Practitioner
NPI 1619640612
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
John Wall
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316044324
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts MedicareSame address
Pamela Curtis, AUD
Qualified Audiologist
NPI 1144334186
1200 N EAST ST
Olney, IL 62450
(618) 395-5222
0.5 mi
Andrew Shajari, MD
General Surgery
NPI 1538666003
605 E MAIN ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts Medicare0.9 mi
Kelcy Carlson, PMHNP-BC
Nurse Practitioner
NPI 1124792288
363 N WEST ST
Olney, IL 62450
(618) 392-9400
✔ PECOS✔ Accepts Medicare1.9 mi
Josette Jovero-Clodfelter
Nurse Practitioner
NPI 1659857886
1200 N EAST ST
Olney, IL 62450
(618) 392-2940
✔ PECOS1.9 mi
Macie Kohnert, APRN
Nurse Practitioner
NPI 1861174260
363 N WEST ST
Olney, IL 62450
(618) 392-9400
✔ PECOS✔ Accepts Medicare1.9 mi
Ryan Millsap, APRN
Nurse Practitioner
NPI 1811723000
363 N WEST ST
Olney, IL 62450
(618) 392-9400
✔ PECOS✔ Accepts Medicare1.9 mi
Mary Waller, MD
Urology
NPI 1225024615
1200 N EAST ST
Olney, IL 62450
(618) 395-5222
✔ PECOS✔ Accepts Medicare1.9 mi
See all 307 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Richland Memorial Hospital, Inc's NPI number?

The NPI number for Richland Memorial Hospital, Inc is 1700063179. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Richland Memorial Hospital, Inc located?

Richland Memorial Hospital, Inc is located at 800 E Locust St, Olney, IL 62450. The listed phone number is (618) 395-7340.

What is Richland Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Richland Memorial Hospital, Inc enrolled in Medicare?

Yes. Richland Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richland Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 307 clinicians in 33 Medicare specialties reassign their Medicare billing to Richland Memorial Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (64), Nurse Practitioner (32) and Emergency Medicine (27). Of these, 13 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Richland Memorial Hospital, Inc was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.