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NPI Code Detail

MEDICARE: SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL

MEDICARE: SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL
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
1282N00000XGeneral Acute Care Hospital0005116IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1361721730OTHERILOLD FEDERAL TAX ID

General Provider Information

NPI Number : 1629076831
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL
Provider Business Mailing Address
First Line : 12935 GREGORY ST
Second Line : ADMINISTRATION
City : BLUE ISLAND
State : IL
Zip : 60406-2428
Country : US
Telephone Number : 708-597-2000
Fax Number : 708-389-9480
Provider Business Practice Location Address
First Line : 12935 GREGORY ST
Second Line : ADMINISTRATION
City : BLUE ISLAND
State : IL
Zip : 60406-2428
Country : US
Telephone Number : 708-597-2000
Fax Number : 708-389-9480
Authorized Official
Title or Position : CEO
Name : MS. COLLEEN KANNADAY
Credential :
Telephone Number : 708-597-2000
Provider Enumeration Date : 07/12/2005
Last Update Date : 05/28/2008

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Directions to “SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL ” Practice Location

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