Organization
MENDOTA COMMUNITY HOSPITAL
Active
Organization
MENDOTA COMMUNITY HOSPITAL
Active
Other names
OSF Saint Paul Medical Center, OSF Medical Grou-Mendota
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C. SEHRING (CEO, OSF HEALTHCARE SYSTEM)
(309) 655-2850
Entity
Organization
Contact information
Practice address
1401 EAST 12TH STREET, MENDOTA, IL 61342-9216
(815) 539-7461
(815) 538-5516
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1320
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0001537
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
IL
01
—
CI2549
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
03/18/2024
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