NPI 1083685887

Granite City Illinois Hospital Company LLC

Organisation Rehabilitation Hospital Unit Granite City, IL

Practice location

Address: 2100 Madison Ave, Granite City, IL 62040-4701
Phone: (618) 798-3000
Fax: (618) 798-3724
Mailing address: PO Box 503706, Saint Louis, MO 63150-3706

Authorised official

Name: Randy Michael Cooper
Title: Svp Finance Operations/Ao
Phone: (615) 221-3840

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence 1010199 (IL)

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Registry record

NPI: 1083685887
Entity type: Organization
NPI issued: 30 Jan 2006
Record last updated: 3 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.