Belleville Family Practice Residency Program

LBN: St. Elizabeth Hospital
Belleville Family Practice Residency Program is an health care organization with primary practice located at 180 S 3Rd St Suite 300, Belleville IL 62220-1952. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St. Elizabeth Hospital can be contacted via phone (618) 234-2120, or through Evard, Mark D via phone (217) 492-9651.

Contact Information

Primary practice address
180 S 3Rd St Suite 300 Belleville IL 62220-1952
Phone: (618) 234-2120
Fax: (618) 222-4703
Website:
Map and Directions
Authorized official contact:
Name: Evard, Mark D
Phone: (217) 492-9651

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1326070921
LBN Legal business name St. Elizabeth Hospital
DBA Doing business as Belleville Family Practice Residency Program
Authorized official Evard, Mark D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 19th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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