Presence Central and Suburban Hospitals Network

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0004838 Issued in IL

Legal business name

PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

Doing business as

Presence St. Joseph Medical Center

Practice address

333 Madison St
Joliet, IL 60435-8200

Phone

(815) 725-7133

Fax

(815) 741-7579

NPI assigned

Dec 12, 2006

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Douglas Carter

Title

Amita Cfo

Phone

(224) 273-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Presence St. Joseph Medical Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Medical Center - Aurora LLC

  dba Prime Healthcare Rx 1005

  • Community/Retail Pharmacy
  • Aurora, IL
  • NPI 1215025762

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1487715645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133",
            "fax_number": "815-741-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133",
            "fax_number": "815-741-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "AMITA CFO",
        "authorized_official_telephone_number": "224-273-2350"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0004838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence St. Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presence St. Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Illinois Medical PC (MCL Health Center)
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Medical Center - Psychiatric Unit)
• Presence Central and Suburban Hospitals Network (Presence Saint Joseph Medical Center-Rehab Unit)
• Presence Central and Suburban Hospitals Network (Presence Neuroscience Institute)
• Presence Central and Suburban Hospitals Network (PSJMC Neonatology)
• Presence Central and Suburban Hospitals Network (PSJMC Surgical Oncologist)
• Presence Home Care (Presence Home Care - Joliet)
• Presence Hospitals PRV (Presence Saint Joseph Medical Center - Ped/Endo Clinic)
• Presence Life Connections (Ascension Living Villa Franciscan Place)
• Melanie Presnak, SLP

• General Acute Care Hospital in Joliet, IL
• Providers in Joliet, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.