NPIMap

Organization Active NPI

St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  • Medicare Defined Swing Bed Hospital Unit
  • Breese, IL
National Provider Identifier
1447747316
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0002527 Issued in IL
Legal business name
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Practice address
9515 Holy Cross LN
Breese, IL 62230-3618
Phone
(618) 526-5312
Fax
(618) 526-8022
NPI assigned
Apr 17, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 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
Medicare Defined Swing Bed Hospital Unit 275N00000X 0002527 IL Primary

Addresses

Primary practice location

9515 Holy Cross LN
Breese, IL 62230-3618

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (618) 234-2120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address st_josephs_breeze_toc2203120@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022002390 IL Part A Provider - Hospital 9638064892 Practice locations: Breese, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447747316. Details of each certification follow.

Hospital certification: CCN 14U145

Legal name
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Doing business as
ST. JOSEPHS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1987 in IL
Enrollment address
9515 Holy Cross LN
Breese, IL 62230-3618
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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).

National Provider Directory

National Provider Directory
Tax ID family
Gopal Nayar MD4 organizations share this tax ID, including this one
Part of
Gopal Nayar MD

Other organizations with this tax ID 3

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

Locations

371 Frst Oak Dr
Chicago, IL 60686

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
Anna T Phiri Individual Corporate DirectorBoard Member Jul 19, 2021
Daniel C Imming Individual Corporate DirectorBoard Member Oct 29, 2025
Jeffery Sterling Individual Corporate OfficerVice President- Managed Care Jun 1, 2025
W-2 Managing EmployeeVice President- Managed Care Jun 1, 2025
Dennis E Middendorff Individual Corporate DirectorBoard Member Oct 29, 2025
Tracy L Millard Individual Corporate DirectorVice Chairperson May 1, 2026
Hospital Sisters Services Inc Organization, Springfield, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Kurt Rickoff Individual Corporate DirectorBoard Member May 1, 2026
KC Strieker Individual Corporate DirectorBoard Member May 1, 2026
Ann E Doll-Pollard Individual Corporate DirectorBoard Member Oct 29, 2025
Tom Frerker Individual Corporate DirectorBoard Member Oct 29, 2025
Amanda Ennen Individual Corporate DirectorPresident & Ceo May 1, 2026
Paige Toth Individual Corporate DirectorSecretary Oct 29, 2025
Megan a Holtmann Individual Corporate DirectorChairperson May 1, 2026
Ann Bond Individual Corporate DirectorSystem Director Oct 29, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Joseph's Hospital-BreeseCarlyle, IL, CCN 148570 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 30, 1978

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1447747316",
    "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": "618-234-2120",
            "fax_number": "618-641-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 HOLY CROSS LN",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303618",
            "telephone_number": "618-526-5312",
            "fax_number": "618-526-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER",
        "enumeration_date": "2018-04-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "0002527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_josephs_breeze_toc2203120@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "9515 Holy Cross Ln",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.