OSF HEALTHCARE SYSTEM (NPI# 1730788902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730788902 |
| Entity Type | Organization |
| Organization Name | OSF HEALTHCARE SYSTEM |
| Practice Address |
235 E Penn Ave Roseville IL 61473-5006 |
| Mailing Address |
800 Ne Glen Oak Ave Peoria IL 61603-3255 |
| Practice Telephone | 3094262128 |
| Practice Fax Number | 3094262455 |
| Mailing Telephone | 3096552850 |
| Mailing Fax Number | 3096554878 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | ROBERT SEHRING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3096552850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OSF Holy Family Medical Center | Doing Business As Name - Organization |
| OSF Medical Group Family Medicine Roseville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370108 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 1800 N Knoxville Ave Ste 104, Peoria, IL 61603-3028 | 2019-05-03 |
| 1962987735 | Osf Healthcare System | Clinic/Center | 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 | 2018-09-27 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1275054801 | Osf Healthcare System | Skilled Nursing Facility | 5200 N Hamilton Rd, Peoria, IL 61614-3711 | 2017-07-05 |
| 1154338184 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 5405 N Knoxville Ave Ste 300, Peoria, IL 61614-5016 | 2006-08-02 |
| 1659362499 | Osf Healthcare System | Skilled Nursing Facility | 5533 N Galena Rd, Peoria Heights, IL 61616-4447 | 2005-11-01 |
| 1891327268 | Osf Healthcare System | Clinic/Center | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-02-04 |
| 1568008324 | Osf Healthcare System | Home Health | 9800 Southwest Hwy, Oak Lawn, IL 60453-3617 | 2019-11-26 |
| 1821634684 | Osf Healthcare System | Hospice Care, Community Based | 9800 Southwest Hwy, Oak Lawn, IL 60453-3617 | 2019-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OSF HEALTHCARE SYSTEM | 800 Ne Glen Oak Ave, Peoria, IL 61603-3255 |
| Street Address |
235 E PENN AVE |
| City | ROSEVILLE |
| State | IL |
| Zip Code | 61473-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166347 | Ward Scott Jones | Dentist | 235 E Penn Ave, Roseville, IL 61473-0079 | 2006-12-05 |
| 1508219361 | Mara Layne Bessine | Nurse Practitioner | 235 E Penn Ave, Roseville, IL 61473-5006 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760562177 | Ronald Leonard | Family Medicine | 235 East Penn Avenue, Roseville, IL 61473 | 2006-10-17 |
| 1255344883 | Axlines Inc | Pharmacy | 125 North Main St, Roseville, IL 61473 | 2006-08-14 |
| 1710389077 | Brittni Zimmerman | Speech-Language Pathologist | 271 68th St, Roseville, IL 61473-9395 | 2014-09-18 |
| 1225079684 | 527 Capital Group | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2006-06-09 |
| 1710201793 | Petersen Health Care Roseville LLC | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2010-03-20 |
| 1336384338 | Daniel Edward Gall | Physical Therapy Assistant | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2008-12-05 |
| 1801091301 | Amy B Huston IIi | Developmental Therapist | 560 S Main St, Roseville, IL 61473-9619 | 2007-06-15 |
| 1598833915 | Roseville Area Ambulance Svc | Ambulance | 571 State Highway 116, Roseville, IL 61473-9666 | 2006-12-01 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.