| St Elizabeths Hospital Of The Hospital Sisters Of The Third Order | |
|
211 S 3rd St Belleville IL 62220-1915 | |
| (618) 234-2120 | |
| (618) 222-4628 |
| Full Name | St Elizabeths Hospital Of The Hospital Sisters Of The Third Order |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 211 S 3rd St, Belleville, Illinois |
| Authorized Official Name and Position | Mark D Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeths Hospital Of The Hospital Sisters Of The Third Order 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 234-2120 | St Elizabeths Hospital Of The Hospital Sisters Of The Third Order 211 S 3rd St Belleville IL 62220-1915 Ph: (618) 234-2120 |
| NPI Number | 1326027855 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326027855 | NPI | - | NPPES |
| 0914 | Other | MO | BLUE CROSS |
| 4489 | Other | GHP | |
| 107847 | Other | HEALTHLINK | |
| 0064066 | Other | BLUE CHOICE | |
| 010779908 | Medicaid | MO | |
| 0248 | Other | IL | BLUE CROSS |
| 6701313 | Other | UHC METRAHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Illinois) | Primary |
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