St Johns Hospital of the Hospital Sisters of the Third Order of St F

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

146.005261 Issued in IL

Legal business name

ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Practice address

800 E Carpenter St
Springfield, IL 62769-0002

Phone

(217) 544-6464

Fax

(217) 757-6545

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Mark Duane Evard

Title

VP of Revenue Cycle

Phone

(217) 492-9651

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Paririe Cardiovascular6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1265414015
  NPD tax ID
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1386814549
  NPD tax ID
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • Children's Hospital
  • Springfield, IL
  • NPI 1487637591
  NPD tax ID
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  dba St Johns Hosptial

  • Cardiac Rehabilitation Clinic/Center
  • Springfield, IL
  • NPI 1740088210
  NPD tax ID
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • Specialty Pharmacy
  • Springfield, IL
  • NPI 1912849175
  NPD tax ID

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1083883615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "217-544-6464",
            "fax_number": "217-757-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690002",
            "telephone_number": "217-544-6464",
            "fax_number": "217-757-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "EVARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "217-492-9651"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "146.005261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529981931001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_john_springfield_toc2202618@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627691000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Sriner, LCPC
• Rajesh Srinivasan, MD
• Erin K Srinivasaraghavan, APRN
• Tomasz P. Srokowski, M.D.
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F (HSHS St. John's Hospital)
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

• General Acute Care Hospital in Springfield, IL
• Providers in Springfield, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.