OSF HEALTHCARE SYSTEM NPI 1730788902

NPI Information

NPI: 1730788902
Provider Name: OSF HEALTHCARE SYSTEM

Other Name: OSF MEDICAL GROUP FAMILY MEDICINE ROSEVILLE

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

Specialization: Rural Health

Address:
235 E PENN AVE
ROSEVILLE, IL
ZIP 61473
Phone: (309) 426-2128
Get Directions

OSF HEALTHCARE SYSTEM is a rural health clinic center in Roseville, IL. OSF HEALTHCARE SYSTEM NPI is 1730788902. The provider is registered as an organization entity type.
The provider Other Name Is Osf Medical Group Family Medicine Roseville.

The provider's business location address is:

235 E PENN AVE
ROSEVILLE, IL
ZIP 61473-006
Phone: (309) 426-2128
Fax: (309) 426-2455

The provider's authorized official is Robert C Sehring .
The authorized official title is Chief Executive Officer and has the following contact phone number (309) 655-2850.

The enumeration date for this NPI number is 10/20/2020 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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	999	MEDICAID	ILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »