ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (NPI# 1093797847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093797847 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F |
| Other Organization Name | ST. JOHN'S HOSPICE PROGRAM |
| Practice Address |
2667 Farragut Dr Springfield IL 62704-8414 |
| Mailing Address |
800 East Carpenter Springfield IL 62769-0001 |
| Practice Telephone | 2175446464 |
| Practice Fax Number | 2175353989 |
| Mailing Telephone | 2175446464 |
| Mailing Fax Number | 2175353989 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | STEVEN JON UMLAND (CEO) |
| Authorized Official Telephone | 2178148880 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2000040 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| St. John's Hospice Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1467434589 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | Home Health | 2667 Farragut Dr, Springfield, IL 62704-8414 | 2005-11-15 |
| 1487637591 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-22 |
| 1265414015 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1083696835 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | Skilled Nursing Facility | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1205818481 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter Street, Springfield, IL 62769-0001 | 2005-11-15 |
| Street Address |
2667 FARRAGUT DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434589 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | Home Health | 2667 Farragut Dr, Springfield, IL 62704-8414 | 2005-11-15 |
| 1730364845 | Cynthia J. Lee, M.d., S.c. | Pediatrics | 2667 Farragut Dr, Suite B, Springfield, IL 62704-8414 | 2008-01-08 |
| 1477695591 | Gregory Mark Boyer | Dentist | 2667 Farragut Dr, Suite A, Springfield, IL 62704-1462 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1215391065 | Great Lakes Caring Hospice C Il, LLC | Hospice Care, Community Based | 3085 Stevenson Dr Ste 200a, Springfield, IL 62703-4440 | 2016-04-07 |
| 1811393564 | Loving Peace Hospice, Inc. | Hospice Care, Community Based | 2815 Old Jacksonville Rd Ste 202, Springfield, IL 62704-6419 | 2014-11-07 |
| 1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
| 1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
| 1720255284 | Good Shepherd Hospice of Springfield, LLC | Hospice Care, Community Based | 3250 S National Ave, Springfield, MO 65807-7303 | 2008-05-14 |
| 1710159355 | Omega Health Care of Southwest Missouri Inc | Hospice Care, Community Based | 2041 S Stewart Ave, Springfield, MO 65804-2522 | 2008-03-24 |
| 1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
| 1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
| 1366450504 | Hospice & Palliative Care Of | Hospice Care, Community Based | 2432 East Madrid Ave, Springfield, MO 65804 | 2006-08-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F.
| 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.