ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER (NPI# 1013002658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013002658 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| Other Organization Name | CLINTON COUNTY RURAL HEALTH |
| Practice Address |
9401 Holy Cross Lane Suite 112 Breese IL 62230 |
| Practice Telephone | 6185267271 |
| Practice Fax Number | 6185267313 |
| Mailing Telephone | 6185267271 |
| Mailing Fax Number | 6185267313 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | DAVID NOSACKA (CFO) |
| Authorized Official Telephone | 6186415468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton County Rural Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710375977 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 14509 State Route 127, Carlyle, IL 62231-6485 | 2014-12-22 |
| 1952496176 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 205 Munster Street, Germantown, IL 62245 | 2006-10-04 |
| 1457319154 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | General Acute Care Hospital | 9515 Holy Cross Ln, Box 99, Breese, IL 62230-3618 | 2006-05-02 |
| 1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
| 1780047944 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2016-04-04 |
| 1366830523 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 409 E Broadway, Trenton, IL 62293-1663 | 2014-12-22 |
| 1821486085 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 211 E Hanover St, New Baden, IL 62265-1811 | 2014-12-22 |
| Street Address |
9401 HOLY CROSS LANE SUITE 112 |
| City | BREESE |
| State | IL |
| Zip Code | 62230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821537820 | Talisha Nyman | Nurse Practitioner | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2017-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| 1912449968 | Melissa Siebert | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2016-11-08 |
| Find all providers in zip 62230 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730600644 | Jonathan Dennis Hoskins | Family Medicine | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2017-06-30 |
| 1518049204 | Douglas A Kruse Md LLC | Family Medicine | 9495 Holy Cross Ln, Suite 103, Breese, IL 62230-3510 | 2006-10-20 |
| 1013027945 | Roch Andre Lefebvre | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1326158254 | Jonathan Vaughn Osborn | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1740399674 | Timothy Manson Beaty | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1194830661 | Douglas Anthony Kruse | Family Medicine | 9495 Holy Cross Ln, Suite 103, Breese, IL 62230-3510 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.