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ST ANTHONY'S MEMORIAL HOSPITAL NPI 1003179615


NPI Information

NPI: 1003179615
Provider Name: ST ANTHONY'S MEMORIAL HOSPITAL

Doing Business As: ST ANTHONY'S MEMORIAL WOMAN'S WELLNESS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2038038

Address:
900 W TEMPLE AVE
EFFINGHAM, IL
ZIP 62401
Phone: (217) 347-1601
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ST ANTHONY'S MEMORIAL HOSPITAL is a durable medical equipment medical supplies in Effingham, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST ANTHONY'S MEMORIAL HOSPITAL NPI is 1003179615. The provider is registered as an organization entity type.
The provider Is Doing Business As St Anthony's Memorial Woman's Wellness.

The provider's business location address is:

900 W TEMPLE AVE
EFFINGHAM, IL
ZIP 62401-121
Phone: (217) 347-1601
Fax: (217) 347-1565

The provider's authorized official is Mark D Evard .
The authorized official title is Vp Of Revenue Cycle and has the following contact phone number (217) 492-9651.

The CLIA number assigned to this NPI record is 14D2038038 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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