Gateway Regional Medical Center

LBN: Granite City Illinois Hospital Company Llc
Gateway Regional Medical Center is an health care organization with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Granite City Illinois Hospital Company Llc can be contacted via phone (618) 798-3000, or through Richardson, Tara Peek via phone (615) 221-3672.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 798-3000
Fax: (618) 798-3724
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Tara Peek
Phone: (615) 221-3672

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0005223 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0005223 Illinois

Profile Details

NPI number 1083685986
LBN Legal business name Granite City Illinois Hospital Company Llc
DBA Doing business as Gateway Regional Medical Center
Authorized official Richardson, Tara Peek
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated May 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083685986 NPPES
Missouri Other 010779809 MO MCAID
Missouri Other 10685 MO MCAID
Missouri Other 10685 MO MCAID
Missouri Other 5020040 MO MCAID
Missouri Other 103244 MO MCAID
Missouri Other 50040 MO MCAID

Popular Providers