MEDICARE: FAMILY HOSPICE OF BELLEVILLE AREA

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
1	251G00000X	Community Based Hospice Care Agency	2001089	IL

General Provider Information

NPI Number	:	1891700720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HOSPICE OF BELLEVILLE AREA

Provider Business Mailing Address
First Line	:	5110 WEST MAIN STREET
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-4729
Country	:	US
Telephone Number	:	618-277-1800
Fax Number	:	618-277-1074

Provider Business Practice Location Address
First Line	:	5110 WEST MAIN STREET
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-4729
Country	:	US
Telephone Number	:	618-277-1800
Fax Number	:	618-277-1074

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JIM CLINDANIEL
Credential	:	LNHA
Telephone Number	:	618-277-1800

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1558410431 — MRS. KELLY SMITH MCCLINTON PT
Practice Location Address:

4500 MEMORIAL DR
BELLEVILLE, IL
62226-5399

Practice Phone: 618-257-5265
Practice Fax: 618-257-6929

1891799565 — KEVIN ANTHONY BAUMER M.D.
Practice Location Address:

4700 MEMORIAL DR , STE 340
BELLEVILLE, IL
62226-5373

Practice Phone: 618-234-9884
Practice Fax: 618-235-9020

1194729871 — GREGORY JOSEPH SIMMONS M.D.
Practice Location Address:

4700 MEMORIAL DR , STE 340
BELLEVILLE, IL
62226-5370

Practice Phone: 618-234-9884
Practice Fax: 618-235-9020

1245234988 — ELLEN MIDDENDORF MD
Practice Location Address:

4600 MEMORIAL DR , STE. 160
BELLEVILLE, IL
62226-5368

Practice Phone: 618-235-0460
Practice Fax: 618-235-1464

1275539611 — DR. ROBERT J FAST DC
Practice Location Address:

5206 W MAIN ST
BELLEVILLE, IL
62226-4731

Practice Phone: 628-234-5200
Practice Fax: 618-234-4400

1871599738 — DOUGLAS DOTHAGER MD
Practice Location Address:

4600 MEMORIAL DR STE 200
BELLEVILLE, IL
62226-5363

Practice Phone: 618-233-2220
Practice Fax: 618-233-2555

Directions to “FAMILY HOSPICE OF BELLEVILLE AREA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.