NPIMap

Organization Active NPI

HSHS Holy Family Hospital Inc

  • Rural Health Clinic/Center
  • Greenville, IL
National Provider Identifier
1295787828
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
0005355 Issued in IL
Legal business name
HSHS HOLY FAMILY HOSPITAL INC
Practice address
101 Health Care Dr
Greenville, IL 62246-1159
Phone
(618) 664-1380
Fax
(618) 664-4239
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Ann Bond
Title
System Director-Government Reimb
Phone
(217) 814-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 0005355 IL Primary

Addresses

Primary practice location

101 Health Care Dr
Greenville, IL 62246-1159

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (618) 664-1380

Other identifiers 1

IdentifierTypeStateIssuer
148519OtherILMEDICARE PROVIDER NUMBER

Other names 1

  • HSHS Holy Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000198 IL Part B Supplier - Clinic/Group Practice 7517879349 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, IL
O20111110000643 IL Part A Provider - Rural Health Clinic 7517879349 Practice locations: Greenville, IL

Rural health clinic certification: CCN 148519

Legal name
HSHS HOLY FAMILY HOSPITAL INC
Doing business as
HSHS HOLY FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2011
Last certification
Jan 22, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
101 Health Care Dr
Greenville, IL 62246-1159
Related CCNs
140137

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Hospital Sisters Health System Inc Organization, Springfield, IL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest May 2, 2016 100%
Julie M Doll Individual Corporate DirectorBoard Member May 1, 2026
Jeffery Sterling Individual Corporate OfficerVice President- Managed Care Jun 1, 2025
W-2 Managing EmployeeVice President- Managed Care Jun 1, 2025
Teresa Cornelius Individual Corporate DirectorPresident & Ceo May 1, 2026
Nick Suess Individual Corporate DirectorBoard Member May 1, 2026
Bart Caldieraro Individual Corporate DirectorChairperson Jun 1, 2025
Randy Alderman Individual Corporate DirectorBoard Member Jun 1, 2025
Jeannie Trudel Individual Corporate DirectorBoard Member May 1, 2026
Jamie L Baum Individual Corporate DirectorBoard Member Jun 1, 2025
Curtis Thacker Individual Corporate DirectorVice Chairperson Jun 1, 2025
Patrice White Individual Corporate DirectorBoard Member May 1, 2026
William Walker Individual Corporate DirectorBoard Member Jun 1, 2025
Paige Toth Individual Corporate DirectorSecretary Nov 1, 2025
Ann Bond Individual Corporate DirectorSystem Director- Government Reimbur Nov 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1295787828",
    "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": "618-664-1380",
            "fax_number": "618-664-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461159",
            "telephone_number": "618-664-1380",
            "fax_number": "618-664-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS HOLY FAMILY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR-GOVERNMENT REIMB",
        "authorized_official_telephone_number": "217-814-4586"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "0005355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "148519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Holy Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS Holy Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.