Provider Demographics
NPI:1598645301
Name:RUBICON HEALTHCARE INC
Entity type:Organization
Organization Name:RUBICON HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAKE
Authorized Official - Last Name:EILAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-457-4999
Mailing Address - Street 1:2250 REED STATION PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901-8104
Mailing Address - Country:US
Mailing Address - Phone:618-457-4999
Mailing Address - Fax:618-457-5099
Practice Address - Street 1:2250 REED STATION PKWY STE 305
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-8104
Practice Address - Country:US
Practice Address - Phone:618-457-4999
Practice Address - Fax:618-457-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty