Healthcare Provider Details

I. General information

NPI: 1013355106
Provider Name (Legal Business Name): RUSH HOSPITAL/BUTLER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 E PUSHMATAHA ST
BUTLER AL
36904-2728
US

IV. Provider business mailing address

DEPT 3022, P.O. BOX 1000
MEMPHIS TN
38148-3022
US

V. Phone/Fax

Practice location:
  • Phone: 205-459-4488
  • Fax: 205-459-3010
Mailing address:
  • Phone: 601-213-3010
  • Fax: 601-213-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DON LARKIN KENNEDY
Title or Position: REGIONAL CEO
Credential:
Phone: 601-703-9614