Organization
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Active
Other names
Clinton County Rural Health New Baden
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DUANE EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
211 E HANOVER ST, NEW BADEN, IL 62265-1811
(618) 588-2900
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 588-2900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
10/31/2024
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