Provider Type Icon

ST. JOSEPH'S HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD OR NPI 1205469350


NPI Information

NPI: 1205469350
Provider Name: ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR

Doing Business As: HSHS ST. JOSEPH'S HOSPITAL

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
9515 HOLY CROSS LN
BREESE, IL
ZIP 62230
Phone: (618) 526-4511
Get Directions

ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR is a pain clinic center in Breese, IL. ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR NPI is 1205469350. The provider is registered as an organization entity type.
The provider Is Doing Business As Hshs St. Joseph's Hospital.

The provider's business location address is:

9515 HOLY CROSS LN
BREESE, IL
ZIP 62230-618
Phone: (618) 526-4511
Fax: (618) 222-4703

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 enumeration date for this NPI number is 2/18/2020 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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP3300XClinic/CenterPainYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.