ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF (NPI# 1225548753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225548753 |
Entity Type | Organization |
Organization Name | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF |
Other Organization Name | HSHS SLEEP DISORDER CENTER SOUTHERN ILLINOIS |
Practice Address |
791 Wall St Ste 200 O Fallon IL 62269-2087 |
Practice Telephone | 8666504660 |
Practice Fax Number | 6182224660 |
Mailing Telephone | 8886507474 |
Mailing Fax Number | 6182224660 |
Enumeration Date | 2017-10-11 |
Last Update Date | 2019-06-12 |
Authorized Official Name | DAVID NOSACKA (CFO) |
Authorized Official Telephone | 6186415468 |
Is Organization Subpart | Y |
Parent Organization Name | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
HSHS Sleep Disorder Center Southern Illinois | Doing Business As Name - Organization |
Street Address |
791 WALL ST STE 200 |
City | O FALLON |
State | IL |
Zip Code | 62269-2087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932371218 | Midwest Institute of Sleep Medicine, LLC | Clinic/Center | 6698 Keaton Corporate Pkwy, Suite 103, O Fallon, MO 63368-8727 | 2008-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881255784 | Portable Sleep Solutions LLC | Clinic/Center | 820 Sw Adams St, Peoria, IL 61602-1623 | 2019-06-22 |
1053977017 | Mrb Healthcare Services LLC | Clinic/Center | 5633 Lee St, Morton Grove, IL 60053-3116 | 2019-05-15 |
1760740278 | Future Sleep Solutions | Clinic/Center | 7392 Clem Dr, Gurnee, IL 60031-5193 | 2012-05-03 |
1437424389 | Mobile Medical Monitors, LLC | Clinic/Center | 1804 S 27th St, Herrin, IL 62948-4439 | 2012-03-11 |
1124316906 | Sleep Study Professionals LLC | Clinic/Center | 1901 Appaloosa Dr, Naperville, IL 60565-6714 | 2011-07-14 |
1962794222 | Sleep Diagnostics Ltd. | Clinic/Center | 205 W Grand Ave, Unit #104, Bensenville, IL 60106-3364 | 2011-05-05 |
1861799215 | Ottawa Regional Cardinal Sleep Center, LLC | Clinic/Center | 1601 Mercury Ct Ste 2, Ottawa, IL 61350-9333 | 2011-02-22 |
1164736005 | Village Sleep Center Inc | Clinic/Center | 1100 Lake St Ste Ll40, Oak Park, IL 60301-1066 | 2010-08-03 |
1598085706 | Sound Sleep Center Inc | Clinic/Center | 1600 S. Torrence Avenue, Lower Level, Calumet City, IL 60409-5430 | 2010-06-10 |
1114247632 | Fox Valley Medical Diagnostic Services Inc. | Clinic/Center | 3535 E New York Street, Suite 118, Aurora, IL 60504-4466 | 2010-06-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.