St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

NPI #1710375977 in Carlyle, Illinois

Provider Information

NPI Number: 1710375977
Entity Type: Organization
Organization Name: St Josephs Hospital Breese of the Hospital Sisters of the Third Orde
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Dec 22, 2014
Last Updated: Oct 31, 2024

Practice Location

Address: 14509 STATE ROUTE 127
City: Carlyle
State: Illinois
ZIP Code: 62231-6485
Phone: (618) 594-8924

Authorized Official

Name: MARK DUANE EVARD
Title: VP OF REVENUE CYCLE
Phone: (217) 492-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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