Active NPI
St Johns Hospital of the Hospital Sisters of the Third Order of St F
- Home Infusion Agency
- Springfield, IL
National Provider Identifier
1710969563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 093013360
- Legal business name
- ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
- Practice address
- 801 E Carpenter St
Springfield, IL 62702-5323 - Phone
- (217) 544-6464
- Fax
- (217) 535-3989
- NPI assigned
- Nov 17, 2005
- Organization subpart
- Yes
- Parent organization
- ST. JOHN'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 093013360 | IL | Primary |
| Home Infusion Agency | 251F00000X | 032006022 | IL |
Addresses
Primary practice location
801 E Carpenter St
Springfield, IL 62702-5323
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Phone (217) 544-6464
Other names 1
- St. John's Home Infusion Program
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | st_john_springfield_toc2202618@ewd.direct.hshs.org | Direct |
National Provider Directory
National Provider Directory- Part of
- Paririe Cardiovascular
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1710969563",
"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": "217-535-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025323",
"telephone_number": "217-544-6464",
"fax_number": "217-535-3989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. JOHN'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS",
"enumeration_date": "2005-11-17",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"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": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "IL",
"license": "093013360",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "IL",
"license": "032006022",
"primary": false
}
],
"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 Home Infusion Program",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "St. John's Home Infusion Program",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springfield, IL
- 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
- St. Joseph'S Home of Springfield
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.