ST. MARY'S HOSPITAL
NPI 1790789451
Clinic/Center - Rural Health in Vandalia, IL

Active since June 10, 2005
825 NEW YORK DR, STE 2, VANDALIA, IL 62471(618) 283-0600 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Mary's Hospital NPPES

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

ST. MARY'S HOSPITAL (NPI 1790789451) is a healthcare organization registered as a rural health in Vandalia, Illinois and active in the NPI registry since June 2005. The organization lists Bruce Merrell, President, as its authorized official.

NPPES Registry Identity

NPI1790789451
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. MARY'S HOSPITAL
Location Address825 NEW YORK DR, STE 2Vandalia, IL 62471-1044
Mailing AddressPo Box 503861Saint Louis, MO 63150-0001 · (618) 436-8000
Organization SubpartYes
Authorized OfficialBruce MerrellPresident · (618) 436-6205
Enumeration DateJune 10, 2005
Last NPPES UpdateApril 20, 2008
NPI 1790789451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in IL · 0002642
825 NEW YORK DR, Vandalia, IL 62471

Other Identifiers 5

Other259114IL · Healthlink
Medicaid=========005IL
Other=========002IL · Tricare
Medicare OSCAR/certification143409IL
Other2620625IL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 6

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

Physical Therapist
825 NEW YORK DR
VANDALIA, IL 62471
Occupational Therapist
825 NEW YORK DR
VANDALIA, IL 62471
Physical Therapist
825 NEW YORK DR
VANDALIA, IL 62471
Physical Therapist
825 NEW YORK DR
VANDALIA, IL 62471
Nurse Practitioner (Family)
825 NEW YORK DR, SUITE 2
VANDALIA, IL 62471
Clinic/Center (Urgent Care)
825 NEW YORK DR
VANDALIA, IL 62471

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's NPI number?

The NPI number for St. Mary's Hospital is 1790789451. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is St. Mary's Hospital located?

St. Mary's Hospital is located at 825 New York Dr Ste 2, Vandalia, IL 62471. The listed phone number is (618) 283-0600.

What is St. Mary's Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for St. Mary's Hospital was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.