# ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174980379
- **Authorized official:** WHITNEY RENEE MEYER MOTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (217) 821-0769

## Contact information

- **Practice address:** 503 N MAPLE ST, EFFINGHAM, IL 62401-2006
- **Practice address phone:** (217) 347-1243
- **Mailing address:** 503 N MAPLE ST, EFFINGHAM, IL 62401-2006
- **Mailing address phone:** (217) 347-1243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 056010883 | IL | Yes |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 10/31/2024