St Johns Hospital of the Hospital Sisters of the Third Order of St F

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0002451 Issued in IL

Legal business name

ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Doing business as

ST JOHN'S PHYSICIAN SERVICES

Practice address

800 E Carpenter St
Springfield, IL 62769-0001

Phone

(217) 544-6464

Fax

(217) 522-0905

NPI assigned

Oct 18, 2007

Organization subpart

No

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

• ST JOHN'S PHYSICIAN SERVICES Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1184606923

  O20031118000887

  Same enrollment
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481

  O20031118000887

  Same enrollment

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1528257292",
    "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": "217-544-6464",
            "fax_number": "217-522-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-544-6464",
            "fax_number": "217-522-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_john_springfield_toc2202618@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627691000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST JOHN'S PHYSICIAN SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST JOHN'S PHYSICIAN SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St, Mary'S Hospital
• St. John'S Hospital

• General Acute Care Hospital in Springfield, IL
• Providers in Springfield, 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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.