| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | |
|
14509 State Route 127 Carlyle IL 62231-6485 | |
| (618) 594-3613 | |
| Not Available |
| Full Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
|---|---|
| Speciality | Clinic/Center |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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) 594-3613 | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 14509 State Route 127 Carlyle IL 62231-6485 Ph: (618) 594-3613 |
| NPI Number | 1780047944 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9638064892 |
|---|---|
| Medicare Enrollment ID | O20160823000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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