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General NPI Number Information
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NPI Number | 1447352323
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Entity Type | Organization
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Legal Business Name | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 12866 TROXLER AVE
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City | HIGHLAND
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State | IL
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Zip | 62249
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Country | US
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Telephone | 618-654-7421
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Fax | 618-654-2012
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Provider Business Mailing Address
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Address Line | 3051 HOLLIS DR
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City | SPRINGFIELD
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State | IL
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Zip | 62704-7450
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Country | US
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Telephone | 618-234-2120
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Fax | 618-223-5922
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MARK D EVARD
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Credential |
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Telephone | 217-492-9651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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