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ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F NPI 1710969563


NPI Information

NPI: 1710969563
Provider Name: ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Other Name: ST. JOHN'S HOME INFUSION PROGRAM

Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 14D2020807

Address:
801 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 544-6464
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ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F is a home infusion in Springfield, IL. ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F NPI is 1710969563. The provider is registered as an organization entity type.
The provider Other Name Is St. John's Home Infusion Program.

The provider's business location address is:

801 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62702-323
Phone: (217) 544-6464
Fax: (217) 535-3989

The provider's authorized official is Mark Duane Evard .
The authorized official title is Vp Of Revenue Cycle and has the following contact phone number (217) 492-9651.

The CLIA number assigned to this NPI record is 14D2020807 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251F00000XHome Infusion032006022ILLINOISNo
2251F00000XHome Infusion093013360ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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