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1285126631 NPI number — ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS

NPI Number: 1285126631
Health Care Provider/Practitioner: ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS

Information about “1285126631” NPI (ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS) exists in 1285126631 in HTML format HTML  |  1285126631 in plain Text format TXT  |  1285126631 in PDF (Portable Document Format) PDF  |  1285126631 in an XML format XML  formats.

NPI Number : 1285126631 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285126631",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3051 HOLLIS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62704-7450",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-464-2590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1800 E LAKE SHORE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62521-3883",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-464-2590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2018",
    "LastUpdateDate": "09/19/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EVARD",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "VP OF REVENUE CYCLE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "217-492-9651",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "341600000X",
        "TaxonomyName": "Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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