Organization 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
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
093013360 Issued in IL
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. FRANCISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

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.

Verify at the official NPI Registry.