HSHS Holy Family Hospital Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HSHS HOLY FAMILY HOSPITAL INC

Doing business as

HSHS Holy Family Vandalia

Practice address

1611 Veterans Ave
Vandalia, IL 62471-3303

Phone

(618) 690-3597

Fax

(618) 690-3598

NPI assigned

Feb 11, 2021

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HSHS HOLY FAMILY HOSPITAL INC.As reported in NPPES

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 names 1

• HSHS Holy Family Vandalia Doing business as

Part of

Fair Oaks Nursing Home

Locations

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1407448319",
    "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": "217-492-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 VETERANS AVE",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713303",
            "telephone_number": "618-690-3597",
            "fax_number": "618-690-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS HOLY FAMILY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HSHS HOLY FAMILY HOSPITAL INC.",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Holy Family Vandalia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS Holy Family Vandalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sharon Lee Henry, FNP-BC
• Rebecca Hentze
• Elizabeth Jane Hoffman, LCPC
• Britni Jordan Hosick, LCSW
• Colten Lee Hunter, DMD
• Melissa Hutchison
• Katie Leann Ireland, PHARM D
• J Cox Enterprises LTD
• Ethan Jones, MA

• Clinic/Center in Vandalia, IL
• Providers in Vandalia, IL by specialty
• 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.