NPIMap

Organization Active NPI

Anderson Hospital

  • General Acute Care Hospital
  • Maryville, IL
National Provider Identifier
1053481630
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1706469 Issued in IL
Legal business name
ANDERSON HOSPITAL
Doing business as
Anderson Hospital
Practice address
6800 State Route 162
Maryville, IL 62062-8500
Phone
(618) 288-5711
Fax
(618) 288-4088
NPI assigned
Nov 9, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick Garvey
Title
Cfo
Phone
(618) 288-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1706469 IL Primary

Addresses

Primary practice location

6800 State Route 162
Maryville, IL 62062-8500

Mailing address

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Other identifiers 11

IdentifierTypeStateIssuer
208OtherMOALLIANCE CHOICE BC
105770OtherHEALTHLINK HEALTH PLAN
50-07001OtherUNITED HEALTHCARE
198360OtherILHARMONY HEALTH PLAN
7630OtherMOHEALTHCARE USA
0078OtherILBLUE CROSS
011126901MedicaidMO
0069736OtherAETNA
321071OtherILBLACK LUNG
3309OtherGROUP HEALTH PLAN
0920OtherMOBLUE CROSS

Other names 1

  • Anderson Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000001 IL Part A Provider - Hospital 7517949829 Practice locations: Troy, IL; Maryville, IL; Edwardsville, IL; Highland, IL; Bethalto, IL; Collinsville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053481630. Details of each certification follow.

Hospital certification: CCN 140289

Legal name
ANDERSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 22, 1976
Last certification
Feb 2, 2012
Beds
151
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 20, 1929 in IL
Enrollment address
6800 State Route 162
Maryville, IL 62062-8500
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Anderson HospitalCCN 140289 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Illinois H3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380

3417 Anderson Healthcare Dr
Ste 100
Edwardsville, IL 62025
Phone (618) 288-8400

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark S Shashek Individual Corporate DirectorBoard Member Nov 28, 2007
Michelle L Malawy Individual W-2 Managing EmployeeAd; Mar 1, 2016
Joseph C Smith Individual Corporate DirectorBoard Member Mar 24, 2009
Nancy L Thomas Individual Corporate DirectorBoard Member Nov 28, 2007
Kenneth M Eakin Individual Corporate DirectorBoard Member Nov 28, 2007
Virginia M Trucano Individual Corporate DirectorBoard Member Nov 28, 2007
Joseph G Hagerty Individual Corporate DirectorBoard Member Nov 28, 2007
Anderson Healthcare Organization, Maryville, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Andrew C Russell Individual W-2 Managing EmployeeMD; Jan 1, 2026
Lisa Huie Individual W-2 Managing EmployeePFS Director Feb 12, 2024
Patrick J Garvey Individual Corporate OfficerCfo Aug 28, 2023
The Bank of Edwardsville Organization, Edwardsville, IL Created for acquisition, Financial institution 5% Or Greater Security Interest Aug 1, 2011 11.1%
Beth Bauer Individual Corporate DirectorBoard Member Mar 25, 2025
Michael M Marshall Individual Corporate DirectorCeo Apr 4, 2005
Sheri Flanigan-Vasquez Individual Corporate DirectorBoard Member Mar 25, 2025
Kay B Werner Individual Corporate DirectorBoard Member Nov 28, 2007
Gary Ceretto Individual Corporate DirectorBoard Member Nov 28, 2007
Laura W Bernaix Individual Corporate DirectorBoard Member Jul 22, 2014
James Minor Individual Corporate DirectorBoard Member Mar 26, 2024
Andrea Burns Individual Corporate OfficerChief Nursing Executive Dec 1, 2023
W-2 Managing EmployeeAd; Dec 1, 2023
Patrick S Zimmermann Individual Corporate DirectorBoard Member Nov 28, 2007
Bmo Bank National Association Organization, Chicago, IL Financial institution 5% Or Greater Mortgage Interest May 17, 2016 9.7%
Lendell a Phelps Individual Corporate DirectorBoard Member Nov 28, 2007
Lisa Spencer Individual Corporate OfficerPresident Feb 9, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anderson Rehabilitation InstituteEdwardsville, IL, CCN 143029 Hospital 5% Or Greater Direct Ownership Interest (60%) Jul 27, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 410

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1053481630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628500",
            "telephone_number": "618-288-5711",
            "fax_number": "618-288-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628500",
            "telephone_number": "618-288-5711",
            "fax_number": "618-288-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-288-5711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "1706469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE CHOICE BC",
            "identifier": "208",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HEALTH PLAN",
            "identifier": "105770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "50-07001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "198360",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "7630",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0078",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011126901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0069736",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "321071",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "3309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0920",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.