# ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Marys Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891961371
- **Authorized official:** MARK D EVARD (VP OF REVENUE CYCLE)
- **Authorized official phone:** (217) 492-9651

## Contact information

- **Practice address:** 1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
- **Practice address phone:** (217) 464-2966
- **Practice address fax:** (217) 464-1609
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (217) 464-2966
- **Mailing address fax:** (217) 464-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 10/31/2024
