Healthcare Provider Details

I. General information

NPI: 1912849175
Provider Name (Legal Business Name): ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CARPENTER ST STE 1T300
SPRINGFIELD IL
62769-1000
US

IV. Provider business mailing address

800EAST CARPENTER STREET STE 1T300
SPRINGFIELD IL
62769-1000
US

V. Phone/Fax

Practice location:
  • Phone: 217-993-8184
  • Fax: 217-757-6805
Mailing address:
  • Phone: 217-993-8184
  • Fax: 217-757-6805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY STERLING
Title or Position: VICE PRESIDENT OF MANAGED CARE
Credential:
Phone: 217-492-2267