Organization · Type 2 NPI

St. Mary's Hospital, Centralia, Illinois

Comprehensive Outpatient Rehabilitation Facility (CORF) · Centralia, IL

NPI number 1629003074 Active

Practice location

400 N Pleasant Ave
Centralia, IL 62801

Mailing address

PO Box 503861
St. Louis, MO 63150-0001

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401X0002642 (IL)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1629003074

St. Mary's Hospital, Centralia, Illinois's National Provider Identifier is 1629003074, issued on Jul 12, 2006. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Centralia, IL. The record was last updated on Nov 27, 2023.