St. Mary's Hospital

NPI #1790789451 in Vandalia, Illinois

Provider Information

NPI Number
1790789451
Entity Type
Organization
Organization Name
St. Mary's Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
ST. MARY'S HOSPITAL
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 10, 2005
Last Updated
Apr 20, 2008

Practice Location

Address
825 NEW YORK DR
Address 2
STE 2
ZIP Code
62471-1044
Phone
(618) 283-0600

Authorized Official

Name
MR. BRUCE MERRELL
Title
PRESIDENT
Phone
(618) 436-6205

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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