NPIMap

Organization Active NPI

St Elizabeths Hospital of the Hospital Sisters of the Third Order

Doing business as HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
National Provider Identifier
1629057302
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Doing business as
HSHS St. Elizabeth's Hospital
Practice address
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone
(618) 234-2120
Fax
(618) 641-5486
NPI assigned
Jan 11, 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 IL Primary

Addresses

Primary practice location

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099

Mailing address

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

Other practice location 1

211 S 3rd St
Belleville, IL 62220-1915
Phone (618) 234-2120

Other identifiers 6

IdentifierTypeStateIssuer
0914OtherMOBLUE CROSS
107847OtherHEALTHLINK
0064066OtherBLUE CHOICE
4489OtherGHP
010779908MedicaidMO
6701313OtherUHC METRAHEALTH

Other names 1

  • HSHS St. Elizabeth's Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hshs_st_elizabeth_ofallon2202617@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031212000629 IL Part B Supplier - Clinic/Group Practice 6406753011 Receives reassigned benefits from 38 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: O Fallon, IL
O20110315000256 IL Part A Provider - Hospital 6406753011 Practice locations: Mascoutah, IL; O Fallon, IL; Edwardsville, IL; Belleville, IL
O20250919000382 IL Part B Supplier - Intensive Cardiac Rehabilitation 6406753011 Practice locations: O Fallon, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629057302. Details of each certification follow.

Hospital certification: CCN 140187

Legal name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Doing business as
HSHS ST. ELIZABETH'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2009
Beds
260
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1955 in IL
Enrollment address
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
HSHS St Elizabeth's HospitalCCN 140187 · 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

National Provider Directory

National Provider Directory

Locations

180 S 3rd St
Ste 30
Belleville, IL 62220

301 W Lincoln St
Belleville, IL 62220
Phone (618) 235-0955

9538 Caring Way
#208
Columbia, IL 62236
Phone (217) 492-2357

1188 S State Route 157
Ste 101
Edwardsville, IL 62025
Phone (618) 692-5930

1515 Main St
#240
Highland, IL 62249
Phone (618) 235-8500

211 E Hanover St
#1
New Baden, IL 62265
Phone (618) 588-2900

1512 N Green Mount Rd
Ste 103
O Fallon, IL 62269
Phone (618) 624-0100

3 Saint Elizabeth Blvd
Ste 3700
O Fallon, IL 62269
Phone (618) 607-5103

321 Regency Park
Ste 200
O Fallon, IL 62269
Phone (618) 607-5545

325 Spring St
#2
Redbud, IL 62278
Phone (314) 835-0001

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Lemon Individual Corporate DirectorChairperson Oct 1, 2024
Barbara Cempura Individual Corporate DirectorBoard Member Oct 1, 2024
Jeffery Sterling Individual Corporate OfficerVice President- Managed Care Jun 1, 2025
W-2 Managing EmployeeVice President- Managed Care Jun 1, 2025
Sarah Gass Individual Corporate DirectorBoard Member Oct 1, 2024
Hospital Sisters Services Inc Organization, Springfield, IL Corporation Operational/Managerial Control Nov 12, 2008
Chris Klay Individual Corporate OfficerPresident & Ceo Jun 1, 2025
Daniel Jackson Individual Corporate DirectorBoard Member Jun 1, 2025
Kevin Meder Individual Corporate DirectorBoard Member Oct 1, 2024
Georgia Costello Individual Corporate DirectorBoard Member Jan 1, 2019
Julia Yank Individual Corporate DirectorBoard Member Jun 1, 2025
Michael Hall Individual Corporate DirectorBoard Member Jan 1, 2019
Donald S Crouch Individual Corporate DirectorBoard Member Sep 1, 2022
Paige Toth Individual Corporate DirectorSecretary Oct 29, 2025
Ann M McCollum Individual Corporate OfficerBoard Member Feb 1, 2021
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.

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 42

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 42

Affiliated clinicians 594

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

View all 594

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1629057302",
    "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": "618-222-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ELIZABETH BLVD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691099",
            "telephone_number": "618-234-2120",
            "fax_number": "618-641-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201915",
            "country_code": "US",
            "telephone_number": "618-234-2120",
            "fax_number": "618-222-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0914",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "107847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "0064066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "4489",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010779908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC METRAHEALTH",
            "identifier": "6701313",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hshs_st_elizabeth_ofallon2202617@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1 Saint Elizabeth Blvd",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HSHS St. Elizabeth's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.