OrganizationActive
St. Mary'S Hospital
NPI 1790789451 · Rural Health Clinic/Center · Vandalia, IL
Provider details
- NPI number
- 1790789451
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St. Mary'S Hospital
- Organization subpart
- Yes
- Authorized official
- Bruce Merrell, President(618) 436-6205
- License
- 0002642 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
825 New York Dr
Ste 2
Vandalia, IL 62471-1044
Phone: (618) 283-0600
Street-level locationGet directions
Mailing address
Po Box 503861
Saint Louis, MO 63150-0001
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.