St, Mary's Hospital

NPI #1821345729 in Springfield, Illinois

Provider Information

NPI Number
1821345729
Entity Type
Organization
Organization Name
St, Mary's Hospital
Primary Specialty
General Acute Care Hospital
Enumeration Date
Aug 9, 2012
Last Updated
Aug 9, 2012

Practice Location

Address
409 N 13TH ST
ZIP Code
62702-8422
Phone
(217) 816-4189

Authorized Official

Name
LINDA RE
Title
MANAGER OF CREDENTIALING
Phone
(217) 523-5418

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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