Organization
ANDERSON HOSPITAL
Active
Other names
Anderson Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK GARVEY (CFO)
(618) 288-5711
Entity
Organization
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
(618) 288-4088
Mailing address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1706469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06015417
BLUE SHIELD OF ILLINOIS
IL
01
—
140289
MERCY HEALTH PLAN
—
01
—
816730
MEDICARE PROF 1500
IL
01
—
L012078
TRICARE
—
Enumeration date
01/02/2007
Last updated
05/19/2025
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