ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF


Address: 791 Wall St Ste 200, O Fallon, IL 62269-2087
Phone: 8666504660

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
HSHS Sleep Disorder Center Southern Illinois Doing Business As Name - Organization

Office Location

Street Address 791 WALL ST STE 200
City O FALLON
State IL
Zip Code 62269-2087

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QS1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Sleep Disorder Diagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City O FALLON
Zip Code 62269

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Dataset Information

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.

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