SOUTHWESTERN ILLINOIS HEALTH FACILITY, INC (NPI# 1669539623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669539623 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN ILLINOIS HEALTH FACILITY, INC |
| Other Organization Name | ANDERSON HOSPITAL |
| Practice Address |
6800 State Route 162 Maryville IL 62062-8500 |
| Practice Telephone | 6182885711 |
| Practice Fax Number | 6182884088 |
| Mailing Telephone | 6182885711 |
| Mailing Fax Number | 6182884088 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MR. KEITH ALLEN PAGE (PRESIDENT CEO) |
| Authorized Official Telephone | 6182885711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1706469 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MERCY HEALTH PLAN | 140289 | 01 | |
| IL | BLUE SHIELD OF ILLINOIS | 06015417 | 01 |
| TRICARE | L012078 | 01 | |
| IL | MEDICARE PROF 1500 | 816730 | 01 |
| Other Name | Type Code |
|---|---|
| Anderson Hospital | Doing Business As Name - Organization |
| Street Address |
6800 STATE ROUTE 162 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666804 | Legatus Emergency Services LLC | Emergency Medicine | 6800 State Route 162, Maryville, IL 62062-8500 | 2005-06-01 |
| 1598373052 | Brittany Smith | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-07-21 |
| 1285251033 | Cory Ray Austin | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-06-28 |
| 1043856701 | Mallory Jean Stimac | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-11-18 |
| 1023577442 | Christie Marie Keen | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-03-15 |
| 1437623287 | Teressa Vigil | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2019-01-15 |
| 1891268355 | Eric Michael Watson | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-01-08 |
| 1649748831 | Mary Holowatuk | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8521 | 2018-11-06 |
| 1558846741 | Cori Warren | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| 1134604366 | Anna Mcnamara | Physical Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1922298710 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2007-07-27 |
| 1952591844 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2007-07-27 |
| 1477743268 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2007-07-27 |
| 1366632150 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2007-07-27 |
| 1013107804 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2007-07-27 |
| 1598821910 | Anderson Hospital | General Acute Care Hospital | 6800 State Route 162, Maryville, IL 62062-8500 | 2006-12-29 |
| 1053481630 | Anderson Hospital | General Acute Care Hospital | 6800 State Route 162, Maryville, IL 62062-8500 | 2006-11-09 |
| 1619939071 | Blount Memorial Hospital, Inc. | General Acute Care Hospital | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-04-03 |
| 1659331866 | Ssm Regional Health Services | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2006-03-23 |
| Find all providers in MARYVILLE | ||||
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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.