| Osf Heart Of Mary Medical Center | |
|
1400 W Park St Urbana IL 61801 | |
| (217) 443-5000 | |
| (217) 477-2761 |
| Full Name | Osf Heart Of Mary Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1400 W Park St, Urbana, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Heart Of Mary Medical Center 124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | Osf Heart Of Mary Medical Center 1400 W Park St Urbana IL 61801 Ph: (217) 443-5000 |
| NPI Number | 1649783473 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649783473 | NPI | - | NPPES |
| 020 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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