SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
NPI 1255391611
Psychiatric Unit in Centralia, IL

Active since March 27, 2006
400 N PLEASANT AVE, CENTRALIA, IL 62801(618) 436-8000 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2019, Aug 8, 2018 (2 updates tracked since 2018).

About Ssm Health St. Mary's Hospital - Centralia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA (NPI 1255391611) is a healthcare organization registered as a psychiatric unit in Centralia, Illinois and active in the NPI registry since March 2006. The organization lists Damon R Harbison, President, as its authorized official.

NPPES Registry Identity

NPI1255391611
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
Location Address400 N PLEASANT AVECentralia, IL 62801
Mailing Address1195 Corporate Lake DrSaint Louis, MO 63132-1716 · (314) 989-3524 · Fax (314) 989-3695
Organization SubpartNo
Authorized OfficialDamon R HarbisonPresident · (618) 436-8000
Enumeration DateMarch 27, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPI 1255391611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
License Licensed in IL · 0002642
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
400 N PLEASANT AVE, Centralia, IL 62801

Other Names 1

Doing Business AsSsm Health St. Mary's Hospital - Centralia

Other Identifiers 1

Other154401IL · Health Alliance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
400 N PLEASANT AVE
CENTRALIA, IL 62801
General Acute Care Hospital
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Therapist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Hospitalist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Social Worker (Clinical)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Specialist/Technologist (Athletic Trainer)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Anesthetist, Certified Registered
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Medicine & Rehabilitation
400 N PLEASANT AVE
CENTRALIA, IL 62801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Hospital, Centralia, Illinois's NPI number?

The NPI number for St. Mary's Hospital, Centralia, Illinois is 1255391611. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Ssm Health St. Mary's Hospital - Centralia.

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

St. Mary's Hospital, Centralia, Illinois is located at 400 N Pleasant Ave, Centralia, IL 62801. The listed phone number is (618) 436-8000.

What is St. Mary's Hospital, Centralia, Illinois's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

When was this NPI record last updated?

The NPPES record for St. Mary's Hospital, Centralia, Illinois was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.