SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
NPI 1710105192
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Centralia, IL

NPI Status: Active since April 23, 2007

Contact Information

400 N PLEASANT AVE
CENTRALIA, IL
ZIP 62801
Phone: (618) 436-8000

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA

This page provides the complete NPI Profile along with additional information for Ssm Health St. Mary's Hospital - Centralia, a provider established in Centralia, Illinois operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1710105192 assigned on April 2007. The practitioner's primary taxonomy code is 261QR0401X with license number 0002642 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ssm Health St. Mary's Hospital - Centralia. The authorized official of this NPI record is Mr. Damon R Harbison (President)

NPI
1710105192
Provider Legal Name
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
Other Organization Name
SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 N PLEASANT AVE CENTRALIA, IL 62801
Location Phone
(618) 436-8000
Mailing Address
PO BOX 503861 SAINT LOUIS, MO 63150
Mailing Phone
(618) 436-8000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities
License No.
0002642
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAMON R HARBISON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 436-6205

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6123830OTHER (01)ILBLUE CROSS BLUE SHIELD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710105192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 2 + 0 + 1 + 0 + 1 + 1 + 8 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710105192.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Anesthesiology
400 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Anesthetist, Certified Registered
400 N PLEASANT AVE
CENTRALIA, IL 62801
Specialist/Technologist (Athletic Trainer)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Radiology (Diagnostic Radiology)
400 N PLEASANT AVE, RADIOLOGY DEPT
CENTRALIA, IL 62801
Physical Therapist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Therapist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Speech-Language Pathologist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Practitioner (Family)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Practitioner (Family)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Social Worker (Clinical)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Anesthesiology
400 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Anesthetist, Certified Registered
400 N PLEASANT AVE
CENTRALIA, IL 62801
Pathology (Anatomic Pathology & Clinical Pathology)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Therapist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Medicine & Rehabilitation
400 N PLEASANT AVE
CENTRALIA, IL 62801
Emergency Medicine (Undersea and Hyperbaric Medicine)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Physical Therapist
400 N PLEASANT AVE
CENTRALIA, IL 62801
Surgery (Vascular Surgery)
400 N PLEASANT AVE
CENTRALIA, IL 62801
Psychiatry & Neurology (Psychiatry)
400 N PLEASANT AVE
CENTRALIA, IL 62801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710105192, enumerated as an "organization" on April 23, 2007.

The provider is located at 400 N PLEASANT AVE CENTRALIA, IL 62801 and the phone number is (618) 436-8000.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.