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 only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as 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) 436-6205.

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) 436-6205

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 0002642 Illinois

Profile Details

NPI number 1629003074
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 Jul 12th, 2006
Last updated Nov 27th, 2023 - about last year

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 1629003074 NPPES
Illinois Other 6123830 BLUE CROSS BLUE SHIELD

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