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NPI 1629178355

NPI 1629178355 : ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F : LITCHFIELD, IL

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General NPI Number Information
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    NPI Number           |    1629178355
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    Entity Type          |    Organization 
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    Legal Business Name  |    ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F 
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Dates
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    Enumeration Date     |    09/23/2006
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    1212 FRANCISCAN DR 
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    City                 |    LITCHFIELD
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    State                |    IL
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    Zip                  |    62056-1778
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    Country              |    US
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    Telephone            |    217-324-8584
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    Fax                  |    217-324-8701
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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            |    217-324-8584
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    Fax                  |    217-324-8701
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Authorized Official
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    Title or Position    |    VP OF 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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    1002104
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    License Number State |    IL
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