Provider Demographics
NPI:1326057076
Name:ST. FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS
Entity Type:Organization
Organization Name:ST. FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:EVARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-492-9651
Mailing Address - Street 1:3051 HOLLIS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-7450
Mailing Address - Country:US
Mailing Address - Phone:217-324-8500
Mailing Address - Fax:217-324-8724
Practice Address - Street 1:1215 FRANCISCAN DR
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:IL
Practice Address - Zip Code:62056-1778
Practice Address - Country:US
Practice Address - Phone:217-324-8500
Practice Address - Fax:217-324-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0002386282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0250OtherBLUE CROSS
140199OtherFORMER MEDICARE ACUTE ID
IL06832007OtherBLUE CROSS
ILCD5370OtherRAILROAD MEDICARE
IL003894OtherHEALTH ALLIANCE
IL0680006345OtherBLUE CROSS
IL115977OtherHEALTH LINK
IL06821023OtherBLUE CROSS
ILCD5370OtherRAILROAD MEDICARE
IL=========401Medicaid
140199OtherFORMER MEDICARE ACUTE ID
IL06821023OtherBLUE CROSS
IL003894OtherHEALTH ALLIANCE
IL829900Medicare ID - Type UnspecifiedMEDICARE PART B
ILCD5370OtherRAILROAD MEDICARE
IL141350Medicare Oscar/Certification
140199OtherFORMER MEDICARE ACUTE ID