St Elizabeths Hospital of the Hospital Sisters of the Third Order

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

Doing business as

HSHS St. Elizabeth's Mid America Imaging

Practice address

1512 N Green Mount Rd Ste 103
O Fallon, IL 62269-2083

Phone

(618) 234-2120

NPI assigned

Sep 12, 2019

Organization subpart

Yes

Parent organization

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OFAs reported in NPPES

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

Authorized official

Name

Patricia Fischer

Title

President & Ceo

Phone

(618) 463-5206

Specialties & licenses 1

Addresses

Other names 1

• HSHS St. Elizabeth's Mid America Imaging Doing business as

Electronic endpoints 1

Part of

St Eliz Hosp

Locations

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1295385284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST STE 202",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-234-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD STE 103",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692083",
            "telephone_number": "618-234-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "618-463-5206"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hshs_st_elizabeth_ofallon2202617@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1 Saint Elizabeth Blvd",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HSHS St. Elizabeth's Mid America Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS St. Elizabeth's Mid America Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Cardinal Glennon Childrens Hospital (SSM Health Cardinal Glennon Children's Hospital)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (Eldermed Services)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Hospital)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (O'Fallon Family Medicine Center)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Sleep Disorders Center)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Hospital)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Community Pharmacy)
• Andrea Stafford
• Robert J Stanley

• Magnetic Resonance Imaging (MRI) Clinic/Center in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.