St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order O

NPI 1790873297

Information of St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order O

The NPI 1790873297 is an Organization type. NPI No 1790873297 belongs to St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order O. St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order O specializes in Medicare Defined Swing Bed Unit. is practising at 1800 E Lake Shore Dr, Decatur, Illinois 62521. You can also contact him via phone number (217) 464-2966.

Practice address located

  • 1800 E Lake Shore Dr
  • Decatur, Illinois 62521
  • (217) 464-2966
  • (217) 464-2966

Mailling address located

  • 1800 E Lake Shore Dr
  • Decatur, Illinois 62521
  • (217) 464-2966
  • (217) 464-1609
NPI No 1790873297
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes275N00000XMedicare Defined Swing Bed Unitn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
IL145551Medicare ID-Type Unspecifiedn/a
Similar NPIs No