# ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR
- **Other names:** Madison County Rural Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639786171
- **Legal business name:** ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR
- **Authorized official:** MARK DUANE EVARD (VP OF REVENUE CYCLE)
- **Authorized official phone:** (217) 492-9651

## Contact information

- **Practice address:** 12866 TROXLER AVE, HIGHLAND, IL 62249-2806
- **Practice address phone:** (618) 651-2600
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (618) 526-7271
- **Mailing address fax:** (618) 526-7313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 10/31/2024