ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD OR (NPI# 1043831134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043831134 |
| Entity Type | Organization |
| Organization Name | ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD OR |
| Other Organization Name | HSHS ST. ANTHONY'S IMAGING CENTER MATTOON |
| Practice Address |
101 Coles Centre Pkwy Ste 101 Mattoon IL 61938 |
| Mailing Address |
180 S 3rd St Ste 202 Belleville IL 62220-1952 |
| Practice Telephone | 6183422121 |
| Mailing Telephone | 6182342120 |
| Mailing Fax Number | 6182224703 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | DAVID NOSACKA (CFO) |
| Authorized Official Telephone | 6186415468 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE TH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HSHS St. Anthony's Health Center Mattoon | Doing Business As Name - Organization |
| HSHS St. Anthony's Health Center- Mattoon | Doing Business As Name - Organization |
| HSHS St. Anthony's Imaging Center Mattoon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952641946 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Hospice Care, Community Based | 701 W Temple Ave, Suite B, Effingham, IL 62401-2166 | 2013-02-27 |
| 1881214104 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | General Acute Care Hospital | 503 N Maple St, Effingham, IL 62401-2006 | 2020-04-17 |
| Street Address |
101 COLES CENTRE PKWY STE 101 |
| City | MATTOON |
| State | IL |
| Zip Code | 61938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| 1598880742 | James Douglas Williams | Chiropractor | 232 Richmond Ave E, Mattoon, IL 61938 | 2007-03-20 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255463 | Blessing Corporate Services, Inc | Clinic/Center | 927 Broadway St Ste 132, Quincy, IL 62301-2737 | 2020-04-29 |
| 1518505585 | Akumin Health Illinois, LLC | Clinic/Center | 820 E Terra Cotta Ave Ste 136, Crystal Lake, IL 60014-3650 | 2019-12-20 |
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
| 1023478096 | Hope Imaging and Medical Center, Inc. | Clinic/Center | 44 W Schaumburg Rd, Schaumburg, IL 60194-3502 | 2016-03-03 |
| 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.