institution
St. Mary's Hospital, Centralia, Illinois
Comprehensive Outpatient Rehabilitation Facility (CORF) in Centralia, Illinois
NPI 1710105192

St. Mary's Hospital, Centralia, Illinois is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Saint Louis, IL and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). St. Mary's Hospital, Centralia, Illinois practices in Centralia, IL. The NPI Number for St. Mary's Hospital, Centralia, Illinois is 1710105192 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, 63150-0001
institution
Provider Profile Details
NPI Number
1710105192
Provider Name
St. Mary's Hospital, Centralia, Illinois
Credential
Provider Entity Type
Organization
Address
400 N Pleasant Ave, Centralia, IL, 63150-0001
Phone Number
618-436-8000
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6123830 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
400 N Pleasant Ave
City
State
Zip
62801
Phone Number
618-436-8000
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pleasant Ave
City
State
Zip
62801
Phone Number
618-436-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
0002642 (Illinois)
Definition
Definition to come...
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