SAINT FRANCIS MEDICAL CENTER (NPI# 1932310026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932310026 |
| Entity Type | Organization |
| Organization Name | SAINT FRANCIS MEDICAL CENTER |
| Other Organization Name | OSF SYSTEM LAB |
| Practice Address |
530 Ne Glen Oak Ave Peoria IL 61603-3133 |
| Practice Telephone | 3096552029 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH E STEFFEN (CEO) |
| Authorized Official Telephone | 3096552029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| OSF SYSTEM LAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1053844282 | Saint Francis Medical Center | Obstetrics & Gynecology | Rr 4 #4515, Piedmont, MO 63957-9417 | 2017-04-05 |
| 1023541265 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Dr, Dexter, MO 63841-2769 | 2017-04-05 |
| 1366831943 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Drive, Dexter, MO 63841-1212 | 2015-01-20 |
| 1457757767 | Saint Francis Medical Center | Family Medicine | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2014-11-13 |
| 1518372481 | Saint Francis Medical Center | Advanced Practice Midwife | 1702 N Kings Highway St, Cape Girardeau, MO 63701-2122 | 2014-06-30 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1932454956 | Saint Francis Medical Center | Family Medicine | 545 Broad Ridge, Jackson, MO 63755-3001 | 2012-07-16 |
| 1861711640 | Saint Francis Medical Center | Licensed Practical Nurse | 1300 W Commerce Dr, Ste 200, Peoria, IL 61615-1405 | 2010-05-19 |
| 1528198942 | Saint Francis Medical Center | Emergency Medicine | 211 St Francid Dr, Cape Girardeau, MO 63703 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT FRANCIS MEDICAL CENTER | 2620 W Faidley Ave, Grand Island, NE 68803-4205 |
| Street Address |
530 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235777 | Jack Michael Gibson | Obstetrics & Gynecology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2005-09-12 |
| 1053912188 | Janie Clary | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-11-04 |
| 1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
| 1033726831 | Corry Lynn Rediger | Occupational Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-25 |
| 1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
| 1568074474 | Amanda Diane Beoletto | Pharmacist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-08-21 |
| 1881212892 | Mohammad Mousbah Al-tabbaa | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1750909693 | Mohammad Gareeb | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1376160846 | Bassel Elia Abouzeid | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637 | 2020-07-01 |
| 1700403516 | Christina Marie Spurgeon | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861589376 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 13760 N 93rd Ave Ste 107, Peoria, AZ 85381-4260 | 2006-10-06 |
| 1700207750 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2013-12-18 |
| 1649544362 | Banner Primary Care Physicians Arizona LLC | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Ste 102, Peoria, AZ 85381-4846 | 2012-02-27 |
| 1497998017 | Touchstone Imaging of Peoria, LLC | Clinical Medical Laboratory | 6708 N Knoxville Ave, Suite 2, Peoria, IL 61614-2862 | 2009-04-13 |
| 1871610030 | Lakeview Lab | Clinical Medical Laboratory | 13090 N 94th Dr, Peoria, AZ 85381-4256 | 2007-03-23 |
| 1245361773 | Banner Arizona Medical Clinic Ltd | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1497785547 | Arizona Medical Clinic, Ltd. | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2006-07-04 |
| 1194711234 | Comprehensive Hemostasis and Thrombosis Institute | Clinical Medical Laboratory | 4727 N Sheridan Rd, Peoria, IL 61614-5925 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745670 | Rivercross Diagnostics Inc. | Clinical Medical Laboratory | 910 Broadway St Ste Ab, Quincy, IL 62301-2729 | 2020-09-21 |
| 1952915506 | Vip Labs LLC. | Clinical Medical Laboratory | 2555 Lincoln Hwy Ste 104, Olympia Fields, IL 60461-1938 | 2020-09-01 |
| 1538770276 | Precision Phlebotomy Inc | Clinical Medical Laboratory | 9241 S Roberts Rd, Hickory Hills, IL 60457-3809 | 2020-08-15 |
| 1316558182 | Southwest Medical Solutions Inc | Clinical Medical Laboratory | 5533 W 109th St Ste 101, Oak Lawn, IL 60453-5058 | 2020-08-13 |
| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.