Provider Demographics
NPI:1275050189
Name:RUSH HOSPITAL/BUTLER, INC
Entity Type:Organization
Organization Name:RUSH HOSPITAL/BUTLER, INC
Other - Org Name:OCHSNER HEALTH CENTER - GILBERTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL CEO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:LARKIN
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-703-9614
Mailing Address - Street 1:DEPT 3022, P.O. BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-3022
Mailing Address - Country:US
Mailing Address - Phone:601-213-3010
Mailing Address - Fax:601-703-3011
Practice Address - Street 1:12731 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:GILBERTOWN
Practice Address - State:AL
Practice Address - Zip Code:36908
Practice Address - Country:US
Practice Address - Phone:251-843-2887
Practice Address - Fax:251-843-2535
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUSH HOSPITAL/BUTLER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-23
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty