| St. Joseph's Hospital | |
|
14509 State Route 127 Carlyle IL 62231-6485 | |
| (618) 594-3613 | |
| Not Available |
| Full Name | St. Joseph's Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 14509 State Route 127, Carlyle, Illinois |
| Authorized Official Name and Position | Mark Duane Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Hospital 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 594-3613 | St. Joseph's Hospital 14509 State Route 127 Carlyle IL 62231-6485 Ph: (618) 594-3613 |
| NPI Number | 1780047944 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9638064892 |
|---|---|
| Medicare Enrollment ID | O20160823000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Med Plus Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18209 Eula Mae Pkwy, Carlyle, IL 62231 Phone: 618-594-3671 Fax: 618-594-8058 | |
Rivera Medical Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 681-594-4799 | |
Rivera Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Rivera Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Rivera Medical Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Clinton County Rural Health Carlyle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14509 State Route 127, Carlyle, IL 62231 Phone: 618-594-8924 Fax: 618-594-7918 |