| St Marys Hospital Sisters Of The Third Order Of St Francis | |
|
1800 E Lake Shore Dr Decatur IL 62521-3810 | |
| (217) 464-2966 | |
| Not Available |
| Full Name | St Marys Hospital Sisters Of The Third Order Of St Francis |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1800 E Lake Shore Dr, Decatur, 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 Marys Hospital Sisters Of The Third Order Of St Francis 3051 Hollis Dr Springfield IL 62704-7450 Ph: (217) 464-2966 | St Marys Hospital Sisters Of The Third Order Of St Francis 1800 E Lake Shore Dr Decatur IL 62521-3810 Ph: (217) 464-2966 |
| NPI Number | 1255639100 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255639100 | NPI | - | NPPES |
| 14S166 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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