SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA – NPI #1710105192
Clinic/Center
SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA is an AHC clinic located in CENTRALIA, IL. NPPES has assigned the NPI number 1710105192 to SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA on April 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA” is a dba name, the actual legal business name for this organization is ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS. The primary taxonomy selected by this provider is 261QR0401X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA below.
NPI Profile for
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
(more than 19 years ago)
CENTRALIA, IL 62801 Phone: (618) 436-8000 Fax:
SAINT LOUIS, MO 63150-0001 Phone: (618) 436-8000 Fax:
PRESIDENT
Phone: (618) 436-6205
Identifiers for SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE CROSS BLUE SHIELD | IL | 6123830 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QR0401X - Clinic/Center / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Primary) |
IL | 0002642 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
- Endpoint type
- CONNECT URL
- Endpoint Description
- 2.16.840.1.113883.3.1068.1
- Content Type
- Affiliation
- Y
- Endpoint Location
-
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669