1013355106 NPI number — RUSH HOSPITAL/BUTLER, INC

Table of content: (NPI 1013355106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013355106 NPI number — RUSH HOSPITAL/BUTLER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RUSH HOSPITAL/BUTLER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OCHSNER HEALTH CENTER - BUTLER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013355106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT 3022, P.O. BOX 1000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38148-3022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-213-3010
Provider Business Mailing Address Fax Number:
601-213-3011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1404 E PUSHMATAHA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36904-2728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-459-4488
Provider Business Practice Location Address Fax Number:
205-459-3010
Provider Enumeration Date:
06/11/2013

Additional Information

Authorized Official

Authorized Official Last Name:
KENNEDY
Authorized Official First Name:
DON
Authorized Official Middle Name:
LARKIN
Authorized Official Title or Position:
REGIONAL CEO
Authorized Official Telephone Number:
601-703-9614

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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