Organization
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Active
Parent organization
ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Other names
Medicaid outpatient number for 2360 forms
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Authorized official
MARK DUANE EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
800 EAST CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 535-3989
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(217) 544-6464
(217) 535-3989
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0002451
IL
Other
Enumeration date
11/17/2005
Last updated
08/14/2024
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