Ssm Health St. Mary's Hospital - Centralia is a Neurology Clinic in Centralia, Illinois. It is located at 400 N Pleasant Ave, Centralia, IL and its contact number is 618-436-8000. The authorized person for Ssm Health St. Mary's Hospital - Centralia is Mr. Damon R Harbison
who is President of the clinic and his/her contact number is 618-436-6205. The primary license number for Ssm Health St. Mary's Hospital - Centralia is 0002642 (Emergency Medicine) in Illinois. Ssm Health St. Mary's Hospital - Centralia Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Ssm Health St. Mary's Hospital - Centralia Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ssm Health St. Mary's Hospital - Centralia
Specialization:
Neurology
Clinic Address:
400 N Pleasant Ave, Centralia, Illinois, 62801-3056
Phone:
618-436-8000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Damon R Harbison
Position:
President
Contact Number:
618-436-6205
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ssm Health St. Mary's Hospital - Centralia clinic are as mentioned below.
NPI Number:
1770687196
NPI Enumeration Date:
08 Sep, 2006
NPI Last Update On:
27 Nov, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ssm Health St. Mary's Hospital - Centralia are as mentioned below.
Specialization
License Number
State
Status
Emergency Medicine
0002642
Illinois
Primary
Interventional Cardiology
0002642
Illinois
Secondary
Physical Medicine & Rehabilitation
0002642
Illinois
Secondary
Neurology
0002642
Illinois
Secondary
Radiation Oncology
0002642
Illinois
Secondary
Diagnostic Radiology
0002642
Illinois
Secondary
Respiratory Therapist, Certified
0002642
Illinois
Secondary
Respiratory Therapist, Registered
0002642
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
35110
Other
Illinois
Group Health Plan
6110182
Other
Illinois
Blue Cross Blue Shield
247625
Other
Illinois
Healthlink Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ssm Health St. Mary's Hospital - Centralia 1145 Corporate Lake Dr, Saint Louis, Missouri
Zip:
63132-2907
Phone Number:
314-989-2492
Patients can reach Ssm Health St. Mary's Hospital - Centralia at 400 N Pleasant Ave, Centralia, Illinois or can call to book an appointment on 618-436-8000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.