Healthcare Provider Details

I. General information

NPI: 1528079027
Provider Name (Legal Business Name): SAINT ANTHONYS HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT ANTHONYS WAY
ALTON IL
62002-4568
US

IV. Provider business mailing address

1 SAINT ANTHONYS WAY PO BOX 304
ALTON IL
62002-4568
US

V. Phone/Fax

Practice location:
  • Phone: 618-465-2571
  • Fax: 618-463-5643
Mailing address:
  • Phone: 618-465-2571
  • Fax: 618-463-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0002287
License Number StateIL

VIII. Authorized Official

Name: MR. MARK F WEBER
Title or Position: PRESIDENT CEO
Credential:
Phone: 618-465-2571