St Mary's Hospital, Centralia, Illinois
St Mary's Hospital, Centralia, Illinois is an Emergency Medicine Physician in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 8
Practice location Address checks out
400 N Pleasant AveCentralia, IL 62801-3056
Phone: (618) 436-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 0002642 (IL) |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 0002642 (IL) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 0002642 (IL) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 0002642 (IL) |
| Radiation Oncology Physician | Taxonomy 2085R0001X · Licence 0002642 (IL) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 0002642 (IL) |
| Certified Respiratory Therapist | Taxonomy 227800000X · Licence 0002642 (IL) |
| Registered Respiratory Therapist | Taxonomy 227900000X · Licence 0002642 (IL) |
Record details
| NPI number | 1770687196 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Damon Harbison — President · (618) 436-6205 |
| Other names | Ssm Health St. Mary'S Hospital - Centralia; Ssm Health St. Mary'S Hospital - Centralia |
| NPI enumerated | September 8, 2006 |
| Last updated in NPPES | November 27, 2023 |
| Mailing address | 1145 Corporate Lake Dr, Saint Louis, MO 63132-2907 |
Other providers in Centralia
-
Midwest Emergency Centralia Campus Associates, Inc
400 N Pleasant Ave, Centralia, IL 62801-3056 · (817) 451-4208