Organization
MENDOTA COMMUNITY HOSPITAL
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
OSF Healthcare - Medical Group - Spring Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT CARL SEHRING (CHIEF EXECUTIVE OFFICER)
(309) 655-7689
Entity
Organization
Contact information
Practice address
415 E 2ND ST, SPRING VALLEY, IL 61362-1517
(815) 221-1340
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
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
05/09/2024
Last updated
05/09/2024
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