ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER (NPI# 1710375977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710375977 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| Other Organization Name | CLINTON COUNTY RURAL HEALTH CARLYLE |
| Practice Address |
14509 State Route 127 Carlyle IL 62231-6485 |
| Practice Telephone | 6185948924 |
| Practice Fax Number | 6185947918 |
| Mailing Telephone | 6185948924 |
| Mailing Fax Number | 6185947918 |
| Enumeration Date | 2014-12-22 |
| 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 |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinton County Rural Health Carlyle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952496176 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 205 Munster Street, Germantown, IL 62245 | 2006-10-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 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 |
14509 STATE ROUTE 127 |
| City | CARLYLE |
| State | IL |
| Zip Code | 62231-6485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013140532 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1950 Franklin, Carlyle, IL 62231 | 2009-09-01 |
| 1881768661 | Sidney Darryl Wessol | Dentist | 550 8th Street, Carlyle, IL 62231 | 2006-11-20 |
| 1700814704 | Clinton County | Registered Nurse | 930 Fairfax St, Carlyle, IL 62231 | 2006-06-29 |
| 1083816540 | Carlyle Cu Sch Dist 1 | Local Education Agency (LEA) | 1400 13th St, Carlyle, IL 62231-1011 | 2007-06-05 |
| 1659372605 | Christopher John Rivera | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2005-08-02 |
| 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 |
| 1649574518 | Rivera Medical, LLC | Pediatrics | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2011-01-06 |
| 1467756338 | Rivera Medical, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2011-01-06 |
| 1689883035 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-05-22 |
| 1114073756 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-01-26 |
| Find all providers in zip 62231 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 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.