NPIMap

Organization Active NPI

Saint James Hospital

Doing business as OSF Saint James- John W Albrecht Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Pontiac, IL
National Provider Identifier
1023060613
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0005264 Issued in IL
Legal business name
SAINT JAMES HOSPITAL
Doing business as
OSF Saint James- John W Albrecht Medical Center
Practice address
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone
(815) 847-2828
Fax
(815) 847-4912
NPI assigned
May 16, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirsten M Largent
Title
Cfo
Phone
(309) 308-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0005264 IL Primary

Addresses

Primary practice location

2500 W Reynolds St
Pontiac, IL 61764-9774

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850

Other identifiers 1

IdentifierTypeStateIssuer
0768OtherILBLUE CROSS/BLUE SHIELD

Other names 2

  • OSF Saint James- John W Albrecht Medical Center Doing business as
  • OSF HealthCare Saint James- John W. Albrecht Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100806000220 IL Part A Provider - Hospital 0648187252 Practice locations: Pontiac, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023060613. Details of each certification follow.

Hospital certification: CCN 14U161

Legal name
SAINT JAMES HOSPITAL
Doing business as
OSF SAINT JAMES-JOHN W ALBRECHT MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
2500 W Reynolds St
Pontiac, IL 61764-9774
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Rajendra Shivastav MD13 organizations share this tax ID, including this one
Part of
Eastland Med Plaza Surg

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia a Brazeau Individual Corporate Officer Oct 1, 2006
Corporate DirectorBoard Member Jan 1, 2016
Anne M Ziegler Individual Corporate DirectorBoard Member Jan 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate DirectorBoard Member Oct 1, 2006
Gerald J McShane Individual Corporate DirectorBoard Member Sep 1, 1996
Osf Healthcare Ministries Organization, Peoria, IL Corporation, Non-profit Operational/Managerial Control Nov 1, 2024
Kathleen F Williams Individual Corporate Officer Nov 1, 2014
Corporate DirectorBoard Member Jan 1, 2003
Derrick Frazier Individual W-2 Managing EmployeePresident, Osf Healthcare Saint Jam Jun 19, 2023
Operational/Managerial ControlPresident, Osf Healthcare Saint Jam Jun 19, 2023
Kirsten M Largent Individual Corporate OfficerChief Financial Officer Nov 8, 2024
W-2 Managing EmployeeCfo, Osf Healthcare System Nov 8, 2024
Operational/Managerial ControlCfo, Osf Healthcare System Nov 8, 2024
Osf Healthcare System Organization, Peoria, IL Corporation, Non-profit, Chain home office Operational/Managerial Control May 4, 2010
Michelle D Conger Individual Corporate Officer Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial ControlCeo, Osf Healthcare System Jan 1, 2025
Judith a Duvall Individual Corporate Officer Oct 1, 2006
Corporate DirectorBoard Member Oct 1, 1989
Brian J Silverstein Individual Corporate DirectorBoard Member Oct 1, 2015
Paula K Selamat Individual Corporate DirectorBoard Member Oct 6, 2024
Bridget J Meidl Individual Corporate Officer Apr 4, 2026
Corporate DirectorBoard Member Nov 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 76

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 76

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1023060613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649774",
            "telephone_number": "815-847-2828",
            "fax_number": "815-847-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JAMES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-308-5255"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "0005264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0768",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Saint James- John W Albrecht Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Saint James- John W Albrecht Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF HealthCare Saint James- John W. Albrecht Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, IL

Sources for this page

Verify at the official NPI Registry.