Organization Active NPI

St. Marys Health Care Center Investors LLC

  • Oxygen Equipment & Supplies (DME)
  • Edwardsville, IL
National Provider Identifier
1679929368
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ST. MARYS HEALTH CARE CENTER INVESTORS LLC
Practice address
401 Saint Marys Dr
Edwardsville, IL 62025-4276
Phone
(618) 692-1330
Fax
(618) 692-9478
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Jammie Adkins
Title
Regional Director of a/R
Phone
(812) 598-2645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

401 Saint Marys Dr
Edwardsville, IL 62025-4276

Mailing address

401 Saint Marys Dr
Edwardsville, IL 62025-4276
Phone (618) 692-1330

Other names 1

  • Edwardsville Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1679929368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SAINT MARYS DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254276",
            "telephone_number": "618-692-1330",
            "fax_number": "618-692-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SAINT MARYS DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254276",
            "telephone_number": "618-692-1330",
            "fax_number": "618-692-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS HEALTH CARE CENTER INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF A/R",
        "authorized_official_telephone_number": "812-598-2645"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwardsville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.