Organization · Type 2 NPI

ST Johns Hospital of the Hospital Sisters of the Third Order of ST F

Home Infusion Agency · Springfield, IL

NPI number 1710969563 Active

Practice location

801 E Carpenter St
Springfield, IL 62702-5323

Call (217) 544-6464 Map

Fax (217) 535-3989

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency Primary	251F00000X	093013360 (IL)
Home Infusion Agency	251F00000X	032006022 (IL)

Home Infusion Agency: Definition to come...

Another provider at this address

Lisa Reith, MS, RD, LDNRegistered Dietitian Springfield, IL NPI 1275828303

NPI record

NPI: 1710969563
Entity type: Organization (Type 2)
Issued: Nov 17, 2005
Last updated: Aug 14, 2024
Status: Active
Subpart: Yes of St. John's Hospital Sisters of the Third Order of St. Francis

Other names

<unavail>
St. John's Home Infusion Program · other name
St. John's Home Infusion Program · other name

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 1710969563

ST Johns Hospital of the Hospital Sisters of the Third Order of ST F's National Provider Identifier is 1710969563, issued on Nov 17, 2005. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Springfield, IL. The record was last updated on Aug 14, 2024.