Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Active
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) 277-9360
(618) 222-4680
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 277-9360
(618) 222-4680
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1005180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003673
HEALTH ALLIANCE
—
01
—
209
BLUE CROSS BLUE SHIELD
MO
01
—
280445
HARMONY HEALTH PLAN
IL
01
—
437673
HEALTHLINK
—
01
—
51649
GROUP HEALTH PLAN
—
01
—
60 00090
UNITED HEALTHCARE
—
01
—
60 00092
UNITED HEALTHCARE
—
01
—
7116430
AETNA
—
01
—
9889
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/22/2005
Last updated
10/31/2024
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