MEDICARE: TOUCHETTE REGIONAL HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	036048550	IL
2	207R00000X	Internal Medicine Physician	036057027	IL
3	2080P0202X	Pediatric Cardiology Physician
4	207RC0000X	Cardiovascular Disease Physician	036087564	IL
5	251S00000X	Community/Behavioral Health Agency
6	207P00000X	Emergency Medicine Physician	036075453	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922019926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCHETTE REGIONAL HOSPITAL INC

Provider Business Mailing Address
First Line	:	5900 BOND AVE
Second Line	:
City	:	CAHOKIA HEIGHTS
State	:	IL
Zip	:	62207-2326
Country	:	US
Telephone Number	:	618-332-3060
Fax Number	:	618-332-5256

Provider Business Practice Location Address
First Line	:	5900 BOND AVE
Second Line	:
City	:	CAHOKIA HEIGHTS
State	:	IL
Zip	:	62207-2326
Country	:	US
Telephone Number	:	618-332-3060
Fax Number	:	618-332-5256

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRAD GOACHER
Credential	:
Telephone Number	:	618-332-3060

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/14/2025

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Directions to “TOUCHETTE REGIONAL HOSPITAL INC ” Practice Location

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