ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER (NPI# 1457319154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457319154 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| Other Organization Name | ST. JOSEPH'S HOSPITAL |
| Practice Address |
9515 Holy Cross Ln Box 99 Breese IL 62230-3618 |
| Practice Telephone | 6185264511 |
| Practice Fax Number | 6185262291 |
| Mailing Telephone | 6185264511 |
| Mailing Fax Number | 6185262291 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | DAVID NOSACKA (CFO) |
| Authorized Official Telephone | 6186415468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0002527 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 0181 | 01 |
| IL | CIGNA HEALTHLINK | 730003 | 01 |
| IL | CIGNA HLTHLNK PROFEE | 730007 | 01 |
| IL | FEDERAL WORKCOMP | 133379500 | 01 |
| IL | BLUE CROSS PROFEE | 01419513 | 01 |
| IL | HEALTHLINK | 130531 | 01 |
| IL | GROUP HEALTH PLAN | 27450 | 01 |
| IL | CIGNA | 0660303 | 01 |
| IL | GRP HLTH PLAN PROFEE ANES | 35042 | 01 |
| IL | UNITED HEALTHCARE | 5007008 | 01 |
| Other Name | Type Code |
|---|---|
| St. Joseph's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710375977 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 14509 State Route 127, Carlyle, IL 62231-6485 | 2014-12-22 |
| 1952496176 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 205 Munster Street, Germantown, IL 62245 | 2006-10-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
| 1780047944 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2016-04-04 |
| 1366830523 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 409 E Broadway, Trenton, IL 62293-1663 | 2014-12-22 |
| 1821486085 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 211 E Hanover St, New Baden, IL 62265-1811 | 2014-12-22 |
| Street Address |
9515 HOLY CROSS LN BOX 99 |
| City | BREESE |
| State | IL |
| Zip Code | 62230-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516897 | K and L Medical, LLC | Orthopaedic Surgery | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-10-22 |
| 1205469350 | St. Joseph's Hospital, Breese, of The Hospital Sisters of The Third Or | Clinic/Center | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-02-18 |
| 1548824592 | Dennis Joseph Riechman | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-25 |
| 1790349967 | Brandon Gebke | Nurse Anesthetist, Certified Registered | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-23 |
| 1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
| 1528560463 | Cep America Illinois Intensivists | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-03-07 |
| 1639678790 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-05 |
| 1437658622 | Cepamerica Illinois LLP | Emergency Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-02 |
| 1154845527 | Jeffrey Alan Wilhite | Specialist/Technologist | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2017-07-27 |
| 1780127258 | Deanne Perez-meskil | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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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.