Organization
SAINT JAMES HOSPITAL
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
OSF Healthcare - Medical Group - Roanoke
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT CARL SEHRING (CEO)
(309) 655-7689
Entity
Organization
Contact information
Practice address
401 N MAIN ST, ROANOKE, IL 61561-7585
(309) 923-2661
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999
—
IL
Enumeration date
01/26/2023
Last updated
10/06/2023
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