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Hshs Good Shepherd Hospital INC

Home Health in Shelbyville, IL. Organization (NPI-2).

NPI number1477553998
StatusActive
Last updated in NPPESOct 31, 2024

Details

NPI
1477553998
Entity type
Organization (NPI-2)
Legal business name
Hshs Good Shepherd Hospital INC
Organization subpart
No
Enumeration date
Jul 27, 2005
Certification date
Oct 31, 2024
Last updated
Oct 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health1007384ILYes

Practice location

200 South Cedar
Shelbyville, IL 62565

Phone 217-774-4499 · Fax 217-774-6416

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Phone 217-774-3961 · Fax 217-774-5713

Authorized official

Mark D Evard
Vp Of Revenue Cycle
2174929651

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