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

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF
- **Other names:** HSHS St. Elizabeth's Mid America Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295385284
- **Legal business name:** ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF
- **Authorized official:** PATRICIA FISCHER (PRESIDENT & CEO)
- **Authorized official phone:** (618) 463-5206

## Contact information

- **Practice address:** 1512 N GREEN MOUNT RD STE 103, O FALLON, IL 62269-2083
- **Practice address phone:** (618) 234-2120
- **Mailing address:** 180 S 3RD ST STE 202, BELLEVILLE, IL 62220-1952
- **Mailing address phone:** (618) 234-2120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 10/31/2024