NPIMap

Organization Active NPI

Mendota Community Hospital

Doing business as OSF Promptcare

  • Rural Health Clinic/Center
  • Mendota, IL
National Provider Identifier
1043872781
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MENDOTA COMMUNITY HOSPITAL
Doing business as
OSF Promptcare
Practice address
1401 E 12TH St Ste 400
Mendota, IL 61342-9216
Phone
(815) 538-7200
NPI assigned
Jul 2, 2019
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Robert C. Sehring
Title
Ceo Osf Healthcare System
Phone
(309) 655-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1401 E 12TH St Ste 400
Mendota, IL 61342-9216

Mailing address

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

Other names 1

  • OSF Promptcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ER Physciains GRP11 organizations share this tax ID, including this one
Part of
Osf Healthcare System

Other organizations with this tax ID 10

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

Locations

1401 E 12th St
Ste 400
Mendota, IL 61342
Phone (815) 538-7200

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1043872781",
    "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",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 12TH ST STE 400",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429216",
            "telephone_number": "815-538-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO OSF HEALTHCARE SYSTEM",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Promptcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendota, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.