Organization · Type 2 NPI

HSHS Good Shepherd Hospital Inc

Skilled Nursing Facility · Shelbyville, IL

NPI number 1376557983 Active

Practice location

200 S Cedar St
Shelbyville, IL 62565-1838

Call (217) 774-3961 Map

Fax (217) 774-5713

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0015677 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

23 other providers at this address

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NPI record

NPI: 1376557983
Entity type: Organization (Type 2)
Issued: Jul 28, 2006
Last updated: Oct 31, 2024
Status: Active

Other names

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Shelby Memorial Hospital N H · doing business as
Shelby Memorial Hospital N H · doing business as

Authorized official

Mark D Evard
VP of Revenue Cycle
(217) 492-9651

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376557983

HSHS Good Shepherd Hospital Inc's National Provider Identifier is 1376557983, issued on Jul 28, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Shelbyville, IL. The record was last updated on Oct 31, 2024.