SAINT JAMES HOSPITAL NPI 1447976113

NPI Information

NPI: 1447976113
Provider Name: SAINT JAMES HOSPITAL

Doing Business As: OSF HEALTHCARE - MEDICAL GROUP - PONTIAC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2500 W REYNOLDS ST
SUITE 203, 205, 207
PONTIAC, IL
ZIP 61764
Phone: (815) 844-2001
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SAINT JAMES HOSPITAL is a rural health clinic center in Pontiac, IL. SAINT JAMES HOSPITAL NPI is 1447976113. The provider is registered as an organization entity type.
The provider Is Doing Business As Osf Healthcare - Medical Group - Pontiac.

The provider's business location address is:

2500 W REYNOLDS ST
SUITE 203, 205, 207
PONTIAC, IL
ZIP 61764-774
Phone: (815) 844-2001
Fax: (309) 655-4878

The provider's authorized official is Robert C Sehring .
The authorized official title is Ceo, Osf Healthcare System and has the following contact phone number (309) 655-2850.

The CLIA number assigned to this NPI record is 14D0875476 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2022 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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