| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | |
|
14509 State Route 127 Carlyle IL 62231-6485 | |
| (618) 594-8924 | |
| (618) 594-7918 |
| Full Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 14509 State Route 127, Carlyle, Illinois |
| Authorized Official Name and Position | Mark Duane 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 Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 594-8924 | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 14509 State Route 127 Carlyle IL 62231-6485 Ph: (618) 594-8924 |
| NPI Number | 1710375977 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710375977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14509 State Route 127, Carlyle, IL 62231 Phone: 618-594-3613 | |
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