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NPI Code Detail

MEDICARE: HSHS GOOD SHEPHERD HOSPITAL INC

MEDICARE: HSHS GOOD SHEPHERD HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NR1301XRural Acute Care Hospital0002154IL
2282NC0060XCritical Access Hospital

General Provider Information

NPI Number : 1053348532
Entity Type Code : Organization
Provider Name (Legal Business Name) : HSHS GOOD SHEPHERD HOSPITAL INC
Provider Business Mailing Address
First Line : 3051 HOLLIS DR
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-7450
Country : US
Telephone Number : 217-774-3961
Fax Number : 217-774-5713
Provider Business Practice Location Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-3961
Fax Number : 217-774-5100
Authorized Official
Title or Position : SYSTEM DIRECTOR-GOVERNMENT REIMB
Name : ANN BOND
Credential :
Telephone Number : 217-814-4586
Provider Enumeration Date : 06/28/2006
Last Update Date : 01/21/2026

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Directions to “HSHS GOOD SHEPHERD HOSPITAL INC ” Practice Location

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