ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1770687196, based in Centralia, IL. The organization lists 8 taxonomy classifications, with Emergency Medicine Physician recorded as primary.
Getting there
The practice address on file is 400 N PLEASANT AVE, Centralia, IL 62801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0002642 | IL | Interventional Cardiology Physician |
| 0002642 | IL | Physical Medicine & Rehabilitation… |
| 0002642 | IL | Neurology Physician |
| 0002642 | IL | Radiation Oncology Physician |
| 0002642 | IL | Diagnostic Radiology Physician |
| 0002642 | IL | Certified Respiratory Therapist |
| 0002642 | IL | Registered Respiratory Therapist |
| 0002642 | IL | Emergency Medicine Physician primary |
This provider holds licence 0002642 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6709788920
- Enrollment ID
- O20040127000118
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 0002642 | IL | |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0002642 | IL | |
| 2084N0400X | Neurology Physician Neurology | 0002642 | IL | |
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | 0002642 | IL | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 0002642 | IL | |
| 227800000X | Certified Respiratory Therapist | 0002642 | IL | |
| 227900000X | Registered Respiratory Therapist | 0002642 | IL | |
| 207P00000X | Emergency Medicine Physician | 0002642 | IL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1770687196 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 8, 2006 |
| Last updated | Nov 27, 2023 |
| Status | Active |
| Practice address |
400 N PLEASANT AVE Centralia, IL 62801 (618) 436-8000 |
| Mailing address |
1145 CORPORATE LAKE DR Saint Louis, MO 63132 |
| Other names |
Ssm Health St. Mary's Hospital - Centralia Former Legal Name |
| Other identifiers |
247625
· Other (IL) 35110 · Other (IL) 6110182 · Other (IL) ========= · Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 6 | 8 | 7 | 1 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 3 | 8 | 5 | 1 | 9 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.