HSHS HOLY FAMILY HOSPITAL INC. (NPI# 1992889125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992889125 |
| Entity Type | Organization |
| Organization Name | HSHS HOLY FAMILY HOSPITAL INC. |
| Other Organization Name | HOLY FAMILY HEALTH CENTER |
| Practice Address |
150 Healthcare Drive Greenville IL 62246-1161 |
| Mailing Address |
200 Health Care Dr Greenville IL 62246-1154 |
| Practice Telephone | 6186649830 |
| Practice Fax Number | 6186649820 |
| Mailing Telephone | 6186641230 |
| Mailing Fax Number | 6186649750 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | MARK ENNEN (DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 6186903403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0005355 | IL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 0005355 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 0332002 | 01 | |
| GROUP HEALTH PLAN | 246127 | 01 |
| Other Name | Type Code |
|---|---|
| Holy Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912171653 | Hshs Holy Family Hospital Inc. | Clinic/Center | 507 W State St, Pocahontas, IL 62275-3017 | 2008-04-14 |
| 1871787218 | Hshs Holy Family Hospital Inc. | Clinic/Center | 700 S Dewey St, Greenville, IL 62246-2288 | 2007-08-29 |
| 1336184563 | Hshs Holy Family Hospital Inc. | Clinic/Center | 101 Healthcare Dr, Greenville, IL 62246-1159 | 2006-06-19 |
| 1295787828 | Hshs Holy Family Hospital Inc. | Clinic/Center | 201 Healthcare Dr, Greenville, IL 62246-1155 | 2006-05-16 |
| 1902007610 | Hshs Holy Family Hospital Inc. | Nurse Anesthetist, Certified Registered | 200 Health Care Dr, Greenville, IL 62246-1154 | 2007-05-30 |
| 1336155985 | Hshs Holy Family Hospital Inc. | General Acute Care Hospital | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-08-01 |
| 1205850690 | Hshs Holy Family Hospital Inc. | General Acute Care Hospital | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-27 |
| 1194748475 | Hshs Holy Family Hospital Inc. | Ambulance | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-26 |
| 1295755353 | Hshs Holy Family Hospital Inc. | Medicare Defined Swing Bed Unit | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-20 |
| Street Address |
150 HEALTHCARE DRIVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154650968 | Elizabeth Eileen Nolker | Advanced Practice Midwife | 150 Healthcare Drive, Greenville, IL 62246-1161 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1073872594 | Brianna Whittemore | Obstetrics & Gynecology | 777 Lowndes Hill Rd, Greenville, SC 29607-2101 | 2012-05-04 |
| 1952692857 | Oussama Ahmad Saleh | Obstetrics & Gynecology | 1025 Spring Forest Rd, E6, Greenville, NC 27834-4986 | 2011-04-26 |
| 1184939670 | Samata Mcclure | Obstetrics & Gynecology | 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 | 2010-08-09 |
| 1528379054 | Rebecca Cori Rinko | Obstetrics & Gynecology | Bon Secours Urogynecology, 2 Innovation Drive, Ste 180, Greenville, SC 29607-5265 | 2010-06-30 |
| 1083940084 | Laurel Center for Women, LLC | Obstetrics & Gynecology | 10 Enterprise Blvd Ste 210, Greenville, SC 29615-3554 | 2009-10-26 |
| 1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
| 1588824916 | Edgar Smith Douglas II | Obstetrics & Gynecology | 204 Hampton Cir, Greenville, NC 27858-8936 | 2008-06-10 |
| 1689849119 | Jack A Mcneil | Obstetrics & Gynecology | 6 Orchard Pl, Greenville, MS 38701-8045 | 2008-04-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.