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St. Mary's Hospital
Rural Health Clinic/Center in Irvington, Illinois
NPI 1285630624

St. Mary's Hospital is a Rural Health Clinic/Center based in Saint Louis, IL and is specialized in Rural Health. St. Mary's Hospital practices in Irvington, IL. The NPI Number for St. Mary's Hospital is 1285630624 and holds a License No. 0002642 (Illinois).

The current practice location address for St. Mary's Hospital is 205 Huron, Irvington, IL and can be reached out via phone at 618-249-6203.

Location: 205 Huron, Irvington, IL, 63150-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285630624
Provider Name
St. Mary's Hospital
Credential
Provider Entity Type
Organization
Address
205 Huron, Irvington, IL, 63150-0001
Phone Number
618-249-6203
Fax Number
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128375 01 IL HEALTHLINK
9515007 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
205 Huron
City
Irvington
State
Illinois
Zip
62848
Phone Number
618-249-6203
Fax Number
person
Provider Business Mailing Address Details
Address
205 Huron
City
Irvington
State
Illinois
Zip
62848
Phone Number
618-249-6203
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
0002642 (Illinois)
Definition
Definition to come...
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