Healthcare Provider Details

I. General information

NPI: 1750992459
Provider Name (Legal Business Name): TOUCHETTE REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2020
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 TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

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