Organization · Type 2 NPI

Blue Island Hospital Company LLC

Psychiatric Hospital Unit · Blue Island, IL

NPI number 1972855963 Active

Practice location

12935 Gregory St
Blue Island, IL 60406-2428

Call (708) 597-2000 Map

Fax (708) 389-9480

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Unit Primary	273R00000X	0005835 (IL)

Psychiatric Hospital Unit: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent perso…

53 other providers at this address

NPI record

NPI: 1972855963
Entity type: Organization (Type 2)
Issued: Oct 15, 2012
Last updated: Apr 27, 2016
Status: Active
Subpart: Yes of Blue Island Hospital Company LLC

Other names

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Metro South Medical Center · doing business as

Authorized official

Tara P Richardson
VP Patient Financial Services
(615) 221-3672

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972855963

Blue Island Hospital Company LLC's National Provider Identifier is 1972855963, issued on Oct 15, 2012. The primary taxonomy on file is Psychiatric Hospital Unit (273R00000X), and the practice location is in Blue Island, IL. The record was last updated on Apr 27, 2016.