St. Mary'S Hospital, Centralia, Illinois
NPI 1770687196 · Emergency Medicine Physician · Centralia, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Mary'S Hospital, Centralia, Illinois is a Emergency Medicine Physician organization in Centralia, IL (NPI 1770687196).
Provider details
- NPI number
- 1770687196
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Damon Harbison, President(618) 436-6205
- License
- 0002642 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
- 2006-09-08
- Last updated
- 2023-11-27
Frequently asked questions
- What is St. Mary'S Hospital, Centralia, Illinois's NPI number?
- St. Mary'S Hospital, Centralia, Illinois's National Provider Identifier (NPI) is 1770687196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Mary'S Hospital, Centralia, Illinois?
- St. Mary'S Hospital, Centralia, Illinois is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St. Mary'S Hospital, Centralia, Illinois located?
- St. Mary'S Hospital, Centralia, Illinois's practice location on file with NPPES is 400 N Pleasant Ave, Centralia, IL 62801-3056.
- What is St. Mary'S Hospital, Centralia, Illinois's phone number?
- The practice phone number listed in the NPPES registry for St. Mary'S Hospital, Centralia, Illinois is (618) 436-8000.
- Does St. Mary'S Hospital, Centralia, Illinois accept Medicare?
- St. Mary'S Hospital, Centralia, Illinois is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. Mary'S Hospital, Centralia, Illinois?
- The authorized official listed on St. Mary'S Hospital, Centralia, Illinois's NPPES record is Damon Harbison, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Mary'S Hospital, Centralia, Illinois's NPI active?
- Yes — St. Mary'S Hospital, Centralia, Illinois's NPI (1770687196) is active in the NPPES registry as of the last update on 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.