Osf Saint Paul Medical Center | |
1405 E 12th St Mendota IL 61342-9010 | |
(815) 539-7461 | |
Not Available |
Full Name | Osf Saint Paul Medical Center |
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Speciality | Clinic/Center |
Location | 1405 E 12th St, Mendota, Illinois |
Authorized Official Name and Position | Robert C. Sehring (CEO, OSF HEALTHCARE SYSTEM) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Osf Saint Paul Medical Center 124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | Osf Saint Paul Medical Center 1405 E 12th St Mendota IL 61342-9010 Ph: (815) 539-7461 |
NPI Number | 1316320849 |
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Provider Enumeration Date | 07/01/2015 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 2264335777 |
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Medicare Enrollment ID | O20140619002050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316320849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Osf Promptcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St Ste 400, Mendota, IL 61342 Phone: 815-538-7200 | |
Community Health Partnership Of Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1009 Main St, Mendota, IL 61342 Phone: 815-539-6124 Fax: 815-539-9015 | |
Osf Medical Group-washington Street Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Washington Street, Mendota, IL 61342 Phone: 815-538-1825 | |
Associated Physicians, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 E 12th St, Suite 300, Mendota, IL 61342 Phone: 815-539-3141 Fax: 815-487-4901 | |
Dr. Megan's Healthcare Ministries Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Meriden St, Mendota, IL 61342 Phone: 815-539-3739 Fax: 815-539-3753 | |
Physician Services Of Mch Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 East 12th Street, Mendota, IL 61342 Phone: 815-539-7461 Fax: 815-538-5516 |