NPIMap

Organization Active NPI

Anderson Hospital

  • Health Educator
  • Maryville, IL
National Provider Identifier
1255002200
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
ANDERSON HOSPITAL
Practice address
6800 State Route 162
Maryville, IL 62062-8521
Phone
(618) 391-6701
NPI assigned
Sep 21, 2021
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDERSON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Patrick Garvey
Title
Cfo
Phone
(618) 391-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

6800 State Route 162
Maryville, IL 62062-8521

Mailing address

6800 State Route 162
Maryville, IL 62062-8521
Phone (618) 391-6701

Other names 1

  • Anderson Diabetic Prevention Other name

National Provider Directory

National Provider Directory
Tax ID family
Anderson Hosp Dept of C3 organizations share this tax ID, including this one
Part of
Anderson Hosp Dept of C

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1255002200",
    "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": "620628521",
            "telephone_number": "618-391-6701"
        },
        {
            "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": "620628521",
            "telephone_number": "618-391-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON HOSPITAL",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-391-6421"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Diabetic Prevention",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Anderson Diabetic Prevention",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.