Healthcare Provider Details

I. General information

NPI: 1922019926
Provider Name (Legal Business Name): TOUCHETTE REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BOND AVE
CAHOKIA HEIGHTS IL
62207-2326
US

IV. Provider business mailing address

5900 BOND AVE
CAHOKIA HEIGHTS IL
62207-2326
US

V. Phone/Fax

Practice location:
  • Phone: 618-332-3060
  • Fax: 618-332-5256
Mailing address:
  • Phone: 618-332-3060
  • Fax: 618-332-5256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036048550
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036057027
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036087564
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036075453
License Number StateIL

VIII. Authorized Official

Name: MR. BRAD GOACHER
Title or Position: PRESIDENT
Credential:
Phone: 618-332-3060