Organization
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Active
Other names
OSF Saint Elizabeth Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C. SEHRING (CHIEF EXECUTIVE OFFICER)
(309) 655-2850
Entity
Organization
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
124 SW ADAMS ST, ATTN: STRATEGIC REIMBURSEMENT, PEORIA, IL 61602-1308
(309) 655-2850
(309) 624-2863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
282N00000X
General Acute Care Hospital
Primary
0002071
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015092
BLUE SHIELD OF IL
IL
Enumeration date
02/22/2007
Last updated
07/31/2024
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