OrganizationActive
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde
NPI 1205469350 · Pain Clinic/Center · Breese, IL
Provider details
- NPI number
- 1205469350
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St Josephs Hospital Breese of the Hospital Sisters of the Third Order
- Organization subpart
- Yes
- Authorized official
- Mark Evard, Vp of Revenue Cycle(217) 492-9651
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9515 Holy Cross Ln
Breese, IL 62230-3618
Phone: (618) 526-4511
Fax: (618) 222-4703
Street-level locationGet directions
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Other names (DBA / former)
- Doing business as
- Hshs St. Joseph'S Hospital
- Doing business as
- Hshs St. Joseph'S Hospital
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.