Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Active
Other names
St Elizabeths Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4628
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 234-2120
(618) 222-4628
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064066
BLUE CHOICE
—
05
—
010779908
—
MO
01
—
0248
BLUE CROSS
IL
01
—
0914
BLUE CROSS
MO
01
—
107847
HEALTHLINK
—
01
—
4489
GHP
—
01
—
6701313
UHC METRAHEALTH
—
Enumeration date
01/12/2006
Last updated
10/31/2024
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