NPIMap

Organization Active NPI

St, Mary'S Hospital

  • General Acute Care Hospital
  • Springfield, IL
National Provider Identifier
1821345729
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST, MARY'S HOSPITAL
Practice address
409 N 13TH St
Springfield, IL 62702-8422
Phone
(217) 816-4189
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Linda Re
Title
Manager of Credentialing
Phone
(217) 523-5418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

409 N 13TH St
Springfield, IL 62702-8422

Mailing address

409 N. 13TH Street
Springfield, IL 62702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1821345729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N. 13TH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N 13TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627028422",
            "telephone_number": "217-816-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST, MARY'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "217-523-5418"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2012; 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.