Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

St. Mary'S Hospital, Centralia, Illinois

Comprehensive Outpatient Rehabilitation Facility (CORF) in Centralia, IL · enumerated 2006 · authorized official Damon Harbison, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629003074

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Registry record

Entity type Organization (Type 2)

Legal business name St. Mary'S Hospital, Centralia, Illinois

Other name <Unavail>

Practice address 400 N Pleasant Ave, Centralia, IL, 62801

Phone (618) 436-8000

Enumeration date Jul 12, 2006

Last updated in NPPES Nov 27, 2023

Taxonomy & classification

261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities · License 0002642 (IL) Primary

Authorized official

Name Damon Harbison

Title President

Phone (618) 436-6205

Other identifiers

Identifier	Type	State	Issuer
6123830	Other	IL	BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is St. Mary'S Hospital, Centralia, Illinois located?

The practice location on file with NPPES is in Centralia, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-27. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.