| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | |
|
409 E Broadway Trenton IL 62293-1663 | |
| (618) 224-7366 | |
| (618) 224-9781 |
| Full Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 409 E Broadway, Trenton, 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) 224-7366 | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 409 E Broadway Trenton IL 62293-1663 Ph: (618) 224-7366 |
| NPI Number | 1366830523 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366830523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |