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NPI 1750992459

NPI 1750992459 : TOUCHETTE REGIONAL HOSPITAL INC : CAHOKIA HEIGHTS, IL

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General NPI Number Information
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    NPI Number           |    1750992459
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOUCHETTE REGIONAL HOSPITAL INC 
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Dates
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    Enumeration Date     |    08/14/2020
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    5900 BOND AVE 
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    City                 |    CAHOKIA HEIGHTS
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    State                |    IL
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    Zip                  |    62207-2326
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    Country              |    US
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    Telephone            |    618-332-3060
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    Fax                  |    618-332-5256
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Provider Business Mailing Address
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    Address Line         |    5900 BOND AVE 
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    City                 |    CAHOKIA HEIGHTS
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    State                |    IL
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    Zip                  |    62207-2326
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    Country              |    US
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    Telephone            |    618-332-3060
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    Fax                  |    618-332-5256
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. BRAD  GOACHER 
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    Credential           |    
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    Telephone            |    618-332-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    273R00000X
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    Taxonomy Name        |    Psychiatric Hospital Unit
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    License Number       |    
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    License Number State |    
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