=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306800602
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2006
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 503 N MAPLE ST
-----------------------------------------------------
City | EFFINGHAM
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62401-2099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-347-1333
-----------------------------------------------------
Fax | 217-347-1565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3051 HOLLIS DR
-----------------------------------------------------
City | SPRINGFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62704-7450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-347-1333
-----------------------------------------------------
Fax | 217-347-1565
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SYSTEM DIRECTOR-GOVERNMENT REIMB
-----------------------------------------------------
Name | ANN BOND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 217-814-4586
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 1630809
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------