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HSHS HOLY FAMILY HOSPITAL INC. NPI 1760619746


NPI Information

NPI: 1760619746
Provider Name: HSHS HOLY FAMILY HOSPITAL, INC.

Doing Business As: GREENVILLE SURGICAL PARTNERS

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 14D0434346

Address:
1515 MAIN ST
HIGHLAND, IL
ZIP 62249
Phone: (618) 664-6966
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HSHS HOLY FAMILY HOSPITAL, INC. is a surgery in Highland, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. HSHS HOLY FAMILY HOSPITAL, INC. NPI is 1760619746. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenville Surgical Partners.

The provider's business location address is:

1515 MAIN ST
HIGHLAND, IL
ZIP 62249-656
Phone: (618) 664-6966
Fax: (618) 664-6971

The provider's authorized official is Mark Duane 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 14D0434346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/17/2009 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
1208600000XSurgery00053555ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103607861MEDICAIDILLINOIS

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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