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St. Mary'S Hospital, Centralia, Illinois — NPI 1710105192, Centralia, IL | NPI Central

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NPI 1710105192

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St. Mary'S Hospital, Centralia, Illinois

NPI 1710105192 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Centralia, IL

Provider details

NPI number: 1710105192
Entity type: Organization
Primary specialty: Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Damon Harbison, President(618) 436-6205
License: 0002642 (IL)

Specialties & taxonomies

Comprehensive Outpatient Rehabilitation Facility (CORF)Primary261QR0401XLicense 0002642 (IL)
Ambulatory Health Care Facilities

Practice location

400 N Pleasant Ave

Centralia, IL 62801

Phone: (618) 436-8000

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 503861

Saint Louis, MO 63150-0001

Other names (DBA / former)

Doing business as: Ssm Health St. Mary'S Hospital - Centralia
Doing business as: Ssm Health St. Mary'S Hospital - Centralia

Registry dates

Enumerated: 2007-04-23
Last updated: 2023-11-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.