SSM Health St. Mary's Hospital - Centralia – Comprehensive Outpatient Rehabilitation Facility (CORF), NPI 1629003074
Comprehensive Outpatient Rehabilitation Facility (CORF)
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SSM Health St. Mary's Hospital - Centralia
PO BOX 503861
SAINT LOUIS, MO 631500001
Phone: (618) 436-8000
Type: Mailing
Saint Mary's Hospital, 400, North Pleasant Avenue, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, IL 62801
Phone: (618) 436-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (81 days away).
Enrollment records
1
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210818003898 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | IL | 2026-08-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63150)
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