St. Mary's Hospital, Centralia, Illinois 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 St. Mary's Hospital, Centralia, Illinois 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 St. Mary's Hospital, Centralia, Illinois is 0002642 (Emergency Medicine) in Illinois.
St. Mary's Hospital, Centralia, Illinois 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:
St. Mary's Hospital, Centralia, Illinois Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | St. Mary's Hospital, Centralia, Illinois |
| 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 St. Mary's Hospital, Centralia, Illinois 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 St. Mary's Hospital, Centralia, Illinois 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: | St. Mary's Hospital, Centralia, Illinois 1145 Corporate Lake Dr, Saint Louis, Missouri |
| Zip: | 63132-2907 |
| Phone Number: | 314-989-2492 |
Patients can reach St. Mary's Hospital, Centralia, Illinois at
400 N Pleasant Ave, Centralia, Illinois or can
call to book an appointment on 618-436-8000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.