Medicaid outpatient number for 2360 forms – General Acute Care Hospital, NPI 1265414015

General Acute Care Hospital

Medicaid outpatient number for 2360 forms is a healthcare provider. based in Springfield, Illinois. specializing in General Acute Care Hospital. The organization holds a License No. 0002451 (IL). The NPI Number for Medicaid outpatient number for 2360 forms is 1265414015

Main info

Organization

Name

Medicaid outpatient number for 2360 forms

NPI

1265414015

Phone

(217) 544-6464

Address

800 EAST CARPENTER

Authorized Official

MARK DUANE EVARD VP OF REVENUE CYCLE

Enumeration Date

17 November 2005

Last Update Date

14 August 2024

Contacts

Secure Messaging

st_john_springfield_toc2202618@ewd.direct.hshs.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness90

Years active:20State licenses:1Updated within 12 months

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Provider Addresses for Medicaid outpatient number for 2360 forms

NY Timber, Tynemouth Road, North Shields, North Tyneside, North East England, England, NE30 1ED, United Kingdom
SPRINGFIELD, IL 627690001
Phone: (217) 544-6464
Fax: (217) 535-3989
Type: Location
3051 HOLLIS DR
SPRINGFIELD, IL 627047450
Phone: (217) 544-6464
Fax: (217) 535-3989
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62769)

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Reviews

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Frequently asked questions

How do I look up Medicaid outpatient number for 2360 forms by NPI?

Use NPI 1265414015 when you need to reference Medicaid outpatient number for 2360 forms in forms, claims, or directories.

Is Medicaid outpatient number for 2360 forms active in the national directory?

Medicaid outpatient number for 2360 forms's public NPI profile is in an active state.

Does Medicaid outpatient number for 2360 forms list a primary specialty?

If you are matching referrals, note General Acute Care Hospital for Medicaid outpatient number for 2360 forms. Clinical services aligned with this taxonomy classification.

What location shows for Medicaid outpatient number for 2360 forms?

We surface Springfield, Illinois for Medicaid outpatient number for 2360 forms based on available NPPES addresses.

What if Springfield, Illinois seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.