Organization
ST MARY MEDICAL CENTER
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
OSF Saint Mary Medical Center, St. Mary Medical Center Emergency Room
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT C SEHRING (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9498
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1320
(093) 655-2850
(093) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1419785
UNITED MINE WORKERS
IL
01
—
4815066
BLUE SHIELD
IL
01
—
CD1740
MEDICARE RR
IL
Enumeration date
04/18/2006
Last updated
03/18/2024
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