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St Mary's Hospital, Centralia, Illinois
General Acute Care Hospital in Centralia, Illinois
NPI 1083617245

St Mary's Hospital, Centralia, Illinois is a General Acute Care Hospital based in Saint Louis, IL. St Mary's Hospital, Centralia, Illinois practices in Centralia, IL. The NPI Number for St Mary's Hospital, Centralia, Illinois is 1083617245 and holds a License No. 0002642 (Illinois).

The current practice location address for St Mary's Hospital, Centralia, Illinois is 400 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-436-8000.

Location: 400 N Pleasant Ave, Centralia, IL, 63132-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083617245
Provider Name
St Mary's Hospital, Centralia, Illinois
Credential
Provider Entity Type
Organization
Address
400 N Pleasant Ave, Centralia, IL, 63132-1716
Phone Number
618-436-8000
Fax Number
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133046300 01 IL ACS OWCP
105814 01 IL HEALTHLINK
003578 01 IL HEALTH ALLIANCE
30045800 01 IL BLACK LUNG
35110 01 IL GROUP HEALTH PLAN
0182 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
400 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-436-8000
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-436-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
273R00000X
License No.
0002642 (Illinois)
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
282N00000X
License No.
0002642 (Illinois)
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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institution
St. Mary's Hospital, Centralia, Illinois
NPI 1255391611
General Acute Care Hospital
400 N Pleasant Ave,
CENTRALIA, IL
62801
618-436-8000
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