NPIMap

Organization Active NPI

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

Doing business as St. Joseph's Hospital

  • General Acute Care Hospital
  • Breese, IL
National Provider Identifier
1457319154
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0002527 Issued in IL
Legal business name
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Doing business as
St. Joseph's Hospital
Practice address
9515 Holy Cross LN
Box 99
Breese, IL 62230-3618
Phone
(618) 526-4511
Fax
(618) 526-2291
NPI assigned
May 2, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

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
General Acute Care Hospital 282N00000X 0002527 IL Primary

Addresses

Primary practice location

9515 Holy Cross LN
Box 99
Breese, IL 62230-3618

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (618) 526-4511

Other identifiers 10

IdentifierTypeStateIssuer
130531OtherILHEALTHLINK
01419513OtherILBLUE CROSS PROFEE
0660303OtherILCIGNA
5007008OtherILUNITED HEALTHCARE
730007OtherILCIGNA HLTHLNK PROFEE
0181OtherILBLUE CROSS
730003OtherILCIGNA HEALTHLINK
35042OtherILGRP HLTH PLAN PROFEE ANES
133379500OtherILFEDERAL WORKCOMP
27450OtherILGROUP HEALTH PLAN

Other names 1

  • St. Joseph's Hospital Doing business as

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, TX, CA, PA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040217000493 IL Part B Supplier - Clinic/Group Practice 9638064892 Receives reassigned benefits from 57 practitioners
6 other NPIs on this enrollment
Practice locations: Breese, IL; Carlyle, IL
O20101215001188 IL Part A Provider - Hospital 9638064892 1 other NPI on this enrollment
Practice locations: Breese, IL; New Baden, IL; Carlyle, IL
O20241120002454 TX Part B Supplier - Clinic/Group Practice 9638064892 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20241203001379 CA Part B Supplier - Clinic/Group Practice 9638064892 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA
O20250116000944 PA Part B Supplier - Clinic/Group Practice 9638064892 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20250915000318 IL Part B Supplier - Intensive Cardiac Rehabilitation 9638064892 Receives reassigned benefits from 1 practitioner
Practice locations: Breese, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457319154. Details of each certification follow.

Hospital certification: CCN 140145

Legal name
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Doing business as
ST. JOSEPH'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 2, 2016
Beds
96 (85 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1987 in IL
Enrollment address
9515 Holy Cross LN
Breese, IL 62230-3618
Main/Primary Hospital Location
Hospital subgroups
Acute care

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 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Josephs HospitalCCN 140145 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0434205St Joseph's Hospital Breese Il9515 Holy Cross LN, Breese, IL 62230AccreditationNov 30, 2027

National Provider Directory

National Provider Directory

Locations

9515 Holy Cross Ln
#99
Breese, IL 62230
Phone (618) 526-4511

14505 State Route 127
Carlyle, IL 62231
Phone (618) 594-4949

211 E Hanover St
Ste B
New Baden, IL 62265
Phone (618) 588-7000

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 Jan 1, 2024
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 Director Nov 1, 2022
Tracy L Millard Individual Corporate DirectorVice Chairperson May 1, 2026
Hospital Sisters Services Inc Organization, Springfield, IL 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 of Director Member Nov 1, 2018
Tom Frerker Individual Corporate DirectorBoard of Director Member Nov 1, 2018
Amanda Ennen Individual Corporate OfficerPresident & Ceo Jun 1, 2025
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

Practitioners 66

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.

View all 66

Affiliated clinicians 303

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

View all 303

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1457319154",
    "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": "618-526-4511",
            "fax_number": "618-526-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 HOLY CROSS LN",
            "address_2": "BOX 99",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303618",
            "telephone_number": "618-526-4511",
            "fax_number": "618-526-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0002527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "130531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROFEE",
            "identifier": "01419513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0660303",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5007008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HLTHLNK PROFEE",
            "identifier": "730007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0181",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHLINK",
            "identifier": "730003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP HLTH PLAN PROFEE ANES",
            "identifier": "35042",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKCOMP",
            "identifier": "133379500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "27450",
            "state": "IL"
        }
    ],
    "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": [
        {
            "organization_name": "St. Joseph's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.