Organization Active NPI

St Francis Hospital

Doing business as OSF Healthcare Medical Group-Escanaba

  • Rural Health Clinic/Center
  • Escanaba, MI
National Provider Identifier
1063587046
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
ST FRANCIS HOSPITAL
Doing business as
OSF Healthcare Medical Group-Escanaba
Practice address
3409 Ludington St
Escanaba, MI 49829-4212
Phone
(906) 786-3311
NPI assigned
Nov 22, 2006
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) 655-7804

Specialties & licenses 1

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

Addresses

Primary practice location

3409 Ludington St
Escanaba, MI 49829-4212

Mailing address

124 SW Adams St
Peoria, IL 61602-1320
Phone (309) 655-2850

Other names 1

  • OSF Healthcare Medical Group-Escanaba Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000192 MI Part A Provider - Rural Health Clinic 5991604753 Practice locations: Escanaba, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063587046. Details of each certification follow.

Rural health clinic certification: CCN 238590

Legal name
ST FRANCIS HOSPITAL
Doing business as
OSF HEALTHCARE - MEDICAL GROUP - ESCANABA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 14, 2005
Last certification
Jul 26, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
3409 Ludington St, Ste 100,103,104,203,204,206
Escanaba, MI 49829-4213
Related CCNs
231337

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

Other NPIs with the same Medicare PAC ID 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0910192Osf Healthcare Medical Group - Escanaba3409 Ludington Street #100, Escanaba, MI 49829Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Gregory M Berian MD11 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.

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 Nov 1, 2014
Corporate Director Nov 1, 2014
Anne M Ziegler Individual Corporate Director Jan 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate Director Nov 1, 2014
Gerald J McShane Individual Corporate Director Nov 1, 2014
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 Director Nov 1, 2014
Kirsten M Largent Individual Corporate Officer Nov 8, 2024
W-2 Managing EmployeeChief Financial Officer Nov 8, 2024
Operational/Managerial ControlChief Financial Officer Nov 8, 2024
Osf Healthcare System Organization, Peoria, IL Corporation, Non-profit, Chain home office Operational/Managerial Control Sep 1, 2007
Robert C Sehring Individual Corporate Officer Oct 20, 2017
Corporate Director Oct 20, 2017
W-2 Managing EmployeeChief Executive Officer Oct 20, 2017
Operational/Managerial ControlChief Executive Officer Oct 20, 2017
Judith a Duvall Individual Corporate Officer Nov 1, 2014
Corporate Director Nov 1, 2014
Carisa a Neumann Individual Corporate Director Jan 1, 2021
Brian J Silverstein Individual Corporate Director Nov 1, 2014
Paula K Selamat Individual Corporate Director Oct 6, 2024
Bridget J Meidl Individual Corporate Director 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1063587046",
    "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": "616021320",
            "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": "3409 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-786-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "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": "309-655-7804"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Healthcare Medical Group-Escanaba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.