Organization
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DUANE EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0002
(217) 544-6464
(217) 757-6545
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(217) 544-6464
(217) 757-6545
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
146.005261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529981931001
—
IL
Enumeration date
02/28/2008
Last updated
08/14/2024
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