Active NPI
Anderson Hospital
- General Acute Care Hospital
- Maryville, IL
National Provider Identifier
1669539623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1706469
- Legal business name
- ANDERSON HOSPITAL
- Practice address
- 6800 State Route 162
Maryville, IL 62062-8500 - Phone
- (618) 288-5711
- Fax
- (618) 288-4088
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Garvey
- Title
- Cfo
- Phone
- (618) 288-5711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1706469 | IL | Primary |
Addresses
Primary practice location
6800 State Route 162
Maryville, IL 62062-8500
Mailing address
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140289 | Other | MERCY HEALTH PLAN | |
| 816730 | Other | IL | MEDICARE PROF 1500 |
| 06015417 | Other | IL | BLUE SHIELD OF ILLINOIS |
| L012078 | Other | TRICARE |
Other names 1
- Anderson Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1669539623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 STATE ROUTE 162",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628500",
"telephone_number": "618-288-5711",
"fax_number": "618-288-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 STATE ROUTE 162",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628500",
"telephone_number": "618-288-5711",
"fax_number": "618-288-4088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "GARVEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "618-288-5711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "1706469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "140289",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROF 1500",
"identifier": "816730",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "06015417",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "L012078",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.