# ST, MARY'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821345729
- **Authorized official:** LINDA RE (MANAGER OF CREDENTIALING)
- **Authorized official phone:** (217) 523-5418

## Contact information

- **Practice address:** 409 N 13TH ST, SPRINGFIELD, IL 62702-8422
- **Practice address phone:** (217) 816-4189
- **Mailing address:** 409 N. 13TH STREET, SPRINGFIELD, IL 62702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 08/09/2012