HSHS MEDICAL GROUP NPI 1265752844

NPI Information

  • NPI: 1265752844
  • Provider Name: HSHS MEDICAL GROUP
  • Classification: General Acute Care Hospital - 282NC2000X
  • Specialization: Children
  • Entity Type: Organization
  • CLIA Number: 14D0435225
  • Address: 1900 E LAKE SHORE DR STE 330
    SUITE 330
    DECATUR, IL
    ZIP 62521
  • Phone: (217) 423-2889

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NPI Details

HSHS MEDICAL GROUP is a children general acute care hospital in Decatur, IL. HSHS MEDICAL GROUP NPI is 1265752844. The provider is registered as an organization entity type.

The provider's business location address is:

1900 E LAKE SHORE DR STE 330
SUITE 330
DECATUR, IL
ZIP 62521-848
Phone: (217) 423-2889

The provider's authorized official is Richard Rolstan .
The authorized official title is President &chief Executive Officer and has the following contact phone number (217) 523-4747.

The CLIA number assigned to this NPI record is 14D0435225 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2010 and was last updated on 9/7/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC2000XGeneral Acute Care HospitalChildren036125483ILLINOISYes

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: 11/21/2025

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