Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Active
Parent organization
ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Other names
HSHS IMAGING CENTER,BELLEVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Authorized official
MARK D EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
180 SOUTH THIRD STREET SUITE 101, BELLEVILLE, IL 62220
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 235-0651
(618) 223-5780
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
9003609
IL
261QR0206X
Mammography Clinic/Center
9003609
IL
Other
Enumeration date
02/08/2018
Last updated
10/31/2024
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