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St Elizabeths Hospital of the Hospital Sisters of the Third Order

NPI 1104849165ActiveOrganization· Family Medicine· O Fallon, IL

Family Medicine in O Fallon, Illinois, registered in NPPES in July 2006. The authorized official on file is Mark D. Evard, Vp Of Revenue Cycle.

Overview

NPI1104849165
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2006
Last updated in NPPESOct 31, 2024
Certified by providerOct 31, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in O Fallon

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