Shelby Memorial Hospital in Springfield - Skilled Nursing Facility
Shelby Memorial Hospital - NPI 1376557983
Shelby Memorial Hospital is a Skilled Nursing Facility in Springfield, Illinois. Shelby Memorial Hospital practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shelby Memorial Hospital is 1376557983. The last update date is 2023-09-19.
Shelby Memorial Hospital's current location address is 3051 Hollis Dr, Springfield, Illinois. You can contact this provider via phone number 2177743961 and fax number 2177745713. The mailing address for Shelby Memorial Hospital is 3051 Hollis Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelby Memorial Hospital |
|---|---|
| Address | 3051 Hollis Dr, Springfield, Illinois |
| Phone Number | 2177743961 |
| Fax Number | 2177745713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF REVE |
|---|---|
| Authorized Official Name | Evard D Mark |
| Telephone Number | 2174929651 |
NPI Number Detail
| NPI Number | 1376557983 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 3051 Hollis Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047450 |
| Phone Number | 2177743961 |
| Fax Number | 2177745713 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 15677 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique identifier code issued to Shelby Memorial Hospital by the Centers for Medicare & Medicaid Services (CMS)?
The Shelby Memorial Hospital has been assigned the NPI (National Provider Identifier) 1376557983. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Shelby Memorial Hospital located?
The Shelby Memorial Hospital is located at 3051 Hollis Dr, Springfield, IL 627047450.
What is Shelby Memorial Hospital's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shelby Memorial Hospital's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376557983 to Shelby Memorial Hospital?
The Shelby Memorial Hospital received its 1376557983 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information regarding Shelby Memorial Hospital most recently updated?
The details pertaining to the Shelby Memorial Hospital, including its address, specialty, and other relevant information, were last refreshed on 2023-09-19.