St Elizabeths Hospital Of The Hospital Sisters Of The Third Order
Psychiatry & Neurology, Addiction Medicine in Belleville, IL. Organization (NPI-2).
NPI number1194736728
StatusActive
Last updated in NPPESJan 21, 2026
Details
- NPI
- 1194736728
- Entity type
- Organization (NPI-2)
- Legal business name
- St Elizabeths Hospital Of The Hospital Sisters Of The Third Order
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Certification date
- Jan 21, 2026
- Last updated
- Jan 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | 0002345 | IL | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 041.334033 | IL | |
| 363A00000X | Physician Assistant | 0002345 | IL |
Other names
- St. Elizabeth'S Bhs Professional Services (Doing Business As)
Practice location
211 S 3rd StBelleville, IL 62220-1915
Phone 618-234-2120 · Fax 618-222-4761
Mailing address
3051 Hollis DrSpringfield, IL 62704-7450
Phone 618-234-2120 · Fax 618-222-4761
Authorized official
Ann Bond
System Director-Government Reimb
2178144586
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