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St. Mary's Hospital
Rural Health Clinic/Center in Vandalia, Illinois
NPI 1790789451

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 Vandalia, IL. The NPI Number for St. Mary's Hospital is 1790789451 and holds a License No. 0002642 (Illinois).

The current practice location address for St. Mary's Hospital is 825 New York Dr, Vandalia, IL and can be reached out via phone at 618-283-0600.

Location: 825 New York Dr, Vandalia, IL, 63150-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790789451
Provider Name
St. Mary's Hospital
Credential
Provider Entity Type
Organization
Address
825 New York Dr, Vandalia, IL, 63150-0001
Phone Number
618-283-0600
Fax Number
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2620625 01 IL BLUE CROSS BLUE SHIELD
259114 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
825 New York Dr
City
Vandalia
State
Illinois
Zip
62471-1044
Phone Number
618-283-0600
Fax Number
person
Provider Business Mailing Address Details
Address
825 New York Dr
City
Vandalia
State
Illinois
Zip
62471-1044
Phone Number
618-283-0600
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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