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General NPI Number Information
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NPI Number | 1861298317
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Entity Type | Organization
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Legal Business Name | HSHS HOLY FAMILY HOSPITAL INC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 200 HEALTH CARE DR
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City | GREENVILLE
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State | IL
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Zip | 62246-1154
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Country | US
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Telephone | 618-664-1154
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Fax | 618-664-1230
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Provider Business Mailing Address
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Address Line | PO BOX 802806
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City | KANSAS CITY
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State | MO
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Zip | 64180-1154
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Country | US
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Telephone | 618-664-1230
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Fax | 618-664-2352
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Authorized Official
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Title or Position | VICE PRESIDENT OF REVENUE CYCLE
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Name | MR. MARK ENNEN
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Credential |
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Telephone | 618-690-3403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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