# ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ELDERMED SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003091570
- **Authorized official:** MARK D EVARD (VP OF REVENUE CYCLE)
- **Authorized official phone:** (217) 492-9651

## Contact information

- **Practice address:** 1512 N GREEN MOUNT RD, SUITE 200, O FALLON, IL 62269-1953
- **Practice address phone:** (618) 234-2120
- **Practice address fax:** (618) 222-4703
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (618) 234-2120
- **Mailing address fax:** (618) 222-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 10/31/2024