Ssm Health St. Mary'S Hospital - Centralia

LBN: St Mary'S Hospital, Centralia, Illinois
Ssm Health St. Mary'S Hospital - Centralia is an health care organization with primary practice located at 400 N Pleasant Ave , Centralia IL 62801. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. St Mary'S Hospital, Centralia, Illinois can be contacted via phone (618) 436-8000, or through Harbison, Damon R via phone (618) 436-8000.

Contact Information

Primary practice address
400 N Pleasant Ave Centralia IL 62801
Phone: (618) 436-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harbison, Damon R
Phone: (618) 436-8000

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0002642 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0002642 Illinois

Profile Details

NPI number 1083617245
LBN Legal business name St Mary'S Hospital, Centralia, Illinois
DBA Doing business as Ssm Health St. Mary'S Hospital - Centralia
Authorized official Harbison, Damon R
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083617245 NPPES
Illinois Other 133046300 ACS OWCP
Illinois Other 105814 ACS OWCP
Illinois Other 003578 ACS OWCP
Illinois Other 30045800 ACS OWCP
Illinois Other 35110 ACS OWCP
Illinois Other 0182 ACS OWCP

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