St. Mary's Hospital, Centralia, Illinois

NPI #1477097871 in Centralia, Illinois

Provider Information

NPI Number: 1477097871
Entity Type: Organization
Organization Name: St. Mary's Hospital, Centralia, Illinois
Primary Specialty: Anesthesiology
Enumeration Date: Dec 5, 2016
Last Updated: Mar 26, 2018

Practice Location

Address: 400 N PLEASANT AVE
City: Centralia
State: Illinois
ZIP Code: 62801-3056
Phone: (618) 436-6056

Authorized Official

Name: MR. TIM BULLER, CFO
Title: REGIONAL CFO
Phone: (314) 989-2492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology	207L00000X	Primary

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