Active NPI
Saint Elizabeth's Hospital
- General Acute Care Hospital
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- SAINT ELIZABETH'S HOSPITAL
- Practice address
- 211 S 3Rd St
Belleville, IL 62220-1915 - Phone
- (618) 234-2120
- NPI assigned
- May 25, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Rudolph Bouse, B.S.
- Title
- Staff Occupational Therapist
- Phone
- (618) 234-2120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | IL | Primary |
Addresses
Primary practice location
211 S 3Rd St
Belleville, IL 62220-1915
Mailing address
772 Glen Mor
Belleville, IL 62221-3482
Phone (318) 277-1951
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba New Dimensions Reconstructive and Cosmetic Surgery
- Plastic Surgery Physician
- Belleville, IL
- NPI 1558556878
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Belleville, IL
- NPI 1396909891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407067978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 GLEN MOR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622213482",
"telephone_number": "318-277-1951",
"fax_number": "618-277-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 3RD ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201915",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT ELIZABETH'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOUSE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RUDOLPH",
"authorized_official_title_or_position": "STAFF OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "618-234-2120",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.