O'FALLON FAMILY MEDICINE CENTER – NPI #1104849165
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

O'FALLON FAMILY MEDICINE CENTER is a provider located in O'FALLON, IL. NPPES has assigned the NPI number 1104849165 to O'FALLON FAMILY MEDICINE CENTER on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “O'FALLON FAMILY MEDICINE CENTER” is a dba name, the actual legal business name for this organization is ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for O'FALLON FAMILY MEDICINE CENTER below.

NPI Profile for
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

NPI Number
1104849165
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Doing Business As (dba): O'FALLON FAMILY MEDICINE CENTER
Primary location
1512 N GREEN MOUNT RD
SUITE 108
O'FALLON, IL 62269-1953
Phone: (618) 624-5510 Fax: (618) 624-5525
Mailing address
3051 HOLLIS DR
SPRINGFIELD, IL 62704-7450
Phone: (618) 624-5510 Fax: (618) 624-5525
Organization Subpart
No
Authorized Official
MARK EVARD
VP OF REVENUE CYCLE
Phone: (217) 492-9651
Updated
Certification Date
Oct 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
1 SAINT ELIZABETH BLVD,
O FALLON, IL 77025-1669