ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR (NPI# 1639786171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639786171 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD OR |
| Practice Address |
12866 Troxler Ave Highland IL 62249-2806 |
| Mailing Address |
9401 Holy Cross Ln Breese IL 62230-3510 |
| Practice Telephone | 6186512600 |
| Mailing Telephone | 6185267271 |
| Mailing Fax Number | 6185267313 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | DAVID NOSACKA (CEO) |
| Authorized Official Telephone | 6186415468 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE TH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Madison County Rural Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469350 | St. Joseph's Hospital, Breese, of The Hospital Sisters of The Third Or | Clinic/Center | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-02-18 |
| Street Address |
12866 TROXLER AVE |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447352323 | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | General Acute Care Hospital | 12866 Troxler Ave, Highland, IL 62249 | 2006-09-02 |
| 1902394786 | Vituity - Illinois Auc LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249 | 2018-04-26 |
| 1972005817 | Cep America Illinois Intensivists | Internal Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-03-07 |
| 1972002871 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-02-06 |
| 1275032179 | Cepamerica Illinois LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-02-06 |
| 1801255849 | Lifenet, Inc. | Ambulance | 12866 Troxler Ave, Highland, IL 62249-2806 | 2016-02-18 |
| 1013375187 | Infinity-meds Urgent Care Services LLC | Physician Assistant | 12866 Troxler Ave, Highland, IL 62249-2806 | 2016-02-04 |
| 1245654078 | Infinity-meds LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2014-02-14 |
| 1396173753 | Mia Thouvenot | Podiatrist | 12866 Troxler Ave, Highland, IL 62249 | 2013-10-23 |
| 1962642140 | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | Nurse Anesthetist, Certified Registered | 12866 Troxler Ave, Highland, IL 62249-2806 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851536296 | Hshs Medical Group Inc | Clinic/Center | 12860 Troxler Avenue, Highland, IL 62249-2806 | 2008-12-15 |
| 1700936440 | Hiawatha Hospital Association Inc | Clinic/Center | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
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| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| 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.