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ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
NPI 1790873297
Medicare Defined Swing Bed Unit in Decatur, IL

Active since October 10, 2006
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966(217) 464-1609 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2022, Dec 22, 2021, Jan 31, 2019 (3 updates tracked since 2019).

About St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER (NPI 1790873297) is a healthcare organization registered as a medicare defined swing bed unit in Decatur, Illinois and active in the NPI registry since October 2006. The organization lists Mark D Evard, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1790873297
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address3051 Hollis DrSpringfield, IL 62704-7450 · (217) 464-2966 · Fax (217) 464-1609
Phone(217) 464-2966
Fax(217) 464-1609
Organization SubpartNo
Authorized OfficialMark D EvardVp Of Revenue Cycle · (217) 492-9651
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1790873297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
1800 E LAKE SHORE DR, Decatur, IL 62521
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY KATHERINE KENNEY PA
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
DR. MICHAEL CHOI MD
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2017
CHRISTINE M MEEKER N.P.
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2126
SOMAN NAIR MD
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2984
KRISTINA KAY BRADFORD APN
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
JACOB NUSS
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
MRS. KRISTEN LEE GROHNE SLP
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2415
MARY CRISLER
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order's NPI number?

The NPI number for St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order is 1790873297. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order located?

St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order is located at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.

What is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.