Organization
ST JOSEPH MEDICAL CENTER
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
OSF Saint Joseph Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT C SEHRING (CHIEF EXECUTIVE OFFICER)
(309) 655-2850
Entity
Organization
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
(309) 662-7143
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0002535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100
BLUE CROSS
IL
Enumeration date
06/05/2006
Last updated
03/14/2024
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