Organization · Type 2 NPI

ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde

Rural Health Clinic/Center · Carlyle, IL

NPI number 1710375977 Active

Practice location

14509 State Route 127
Carlyle, IL 62231-6485

Call (618) 594-8924 Map

Fax (618) 594-7918

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

ST Josephs Hospital Breese of the Hospital Sisters of the Third OrdeRural Health Clinic/Center Carlyle, IL NPI 1780047944
Christopher John Rivera, MDInternal Medicine Physician Carlyle, IL NPI 1659372605

Other rural health clinic/center providers in Carlyle

See all in Carlyle →

NPI record

NPI: 1710375977
Entity type: Organization (Type 2)
Issued: Dec 22, 2014
Last updated: Oct 31, 2024
Status: Active

Other names

<unavail>
Clinton County Rural Health Carlyle · doing business as
Clinton County Rural Health Carlyle · doing business as

Authorized official

Mark Duane 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 1710375977

ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde's National Provider Identifier is 1710375977, issued on Dec 22, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carlyle, IL. The record was last updated on Oct 31, 2024.