Osf Healthcare System

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OSF HEALTHCARE SYSTEM

Doing business as

OSF Medical Group-Kewanee

Practice address

1051 W South St
Kewanee, IL 61443-8354

Phone

(309) 852-7700

NPI assigned

Mar 12, 2014

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert C Sehring

Title

Ceo

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Other names 1

• OSF Medical Group-Kewanee Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083030233. Details of each certification follow.

• CCN 143445 Rural health clinic · Active · Details

Rural health clinic certification: CCN 143445

Legal name

OSF HEALTHCARE SYSTEM

Doing business as

OSF MEDICAL GROUP - KEWANEE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 27, 1998

Last certification

Sep 23, 2020

Ownership / control type

2B

Most recent change of ownership

Apr 1, 2014 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Jan 2, 1880 in IL

Enrollment address

1051 W South St
Kewanee, IL 61443-8354

Related CCNs

141325

Related certifications (CCN) 1

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

• Osf Healthcare System

  dba Osf Saint Luke Medical Center

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1871919381

  Parent provider

  Provider of Services

Tax ID family

Osf Healthcare System50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

• Community Medical Center of Western Il Inc

  • Rural Health Clinic/Center
  • Monmouth, IL
  • NPI 1992783138
  NPD tax ID
• Community Medical Center of Western Illinois Inc

  • Pediatric Skilled Nursing Facility
  • Monmouth, IL
  • NPI 1447239728
  NPD tax ID
• Kewanee Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kewanee, IL
  • NPI 1265532980
  NPD tax ID
• Kewanee Hospital

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1821191321
  NPD tax ID
• Osf Healthcare System

  dba OSF Healthcare Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Rockford, IL
  • NPI 1013925593
  NPD tax ID
• Osf Healthcare System

  • PACE Provider Organization
  • Peoria, IL
  • NPI 1043900525
  NPD tax ID
• Osf Healthcare System

  dba OSF Hospice - Urbana

  • Community Based Hospice Care Agency
  • Champaign, IL
  • NPI 1093208712
  NPD tax ID
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  NPD tax ID
• Osf Healthcare System

  dba OSF Home Health

  • Home Health Agency
  • Champaign, IL
  • NPI 1134633746
  NPD tax ID
• Osf Healthcare System

  dba OSF Healthcare Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1154338184
  NPD tax ID
• Osf Healthcare System

  • Family Medicine Physician
  • Danville, IL
  • NPI 1205622818
  NPD tax ID
• Osf Healthcare System

  dba Almost Home Kids at OSF Healthcare Children's Hospital of Illinois

  • Pediatric Skilled Nursing Facility
  • Peoria, IL
  • NPI 1275054801
  NPD tax ID

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 1

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

• Gerald McShane

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1669553012

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 46

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 76

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

• Greater Peoria Specialty Hospital, LLC

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1033862743

  Osf Healthcare Ministries

  CMS ownership
• Greater Peoria Specialty Hospital, LLC

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

  • Long Term Care Hospital
  • Peoria, IL
  • NPI 1770721508

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Granville

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1225877590

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Rural Health Clinic/Center
  • Mendota, IL
  • NPI 1316320849

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Plaza

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1376391888

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Midtown

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1447029301

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Spring Valley

  • Rural Health Clinic/Center
  • Spring Valley, IL
  • NPI 1750139267

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Mendota, IL
  • NPI 1922024843

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Oglesby

  • Rural Health Clinic/Center
  • Oglesby, IL
  • NPI 1952159469

  Osf Healthcare Ministries

  CMS ownership
• Osf Healthcare System

  dba OSF Hospice - Urbana

  • Community Based Hospice Care Agency
  • Champaign, IL
  • NPI 1093208712

  Osf Healthcare Ministries

  CMS ownership
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439

  Osf Healthcare Ministries

  CMS ownership

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1083030233",
    "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": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "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",
        "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 Medical Group-Kewanee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Medical Group-Kewanee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley A. O'Meara, M.S., CCC-SLP
• Karol Ruth O'Neill, FNP
• Jennifer Oetzel
• Monday Ogbeibor, NURSE PRACTITIONER
• Elizabeth Oliger, MS, CCC-SLP
• Osf Healthcare System
• Osf Healthcare System
• Osf Healthcare System (Osf Saint Luke Medical Center Swing Bed Unit)
• Osf Healthcare System (Osf Saint Luke Medical Center)
• Osf Healthcare System

• Rural Health Clinic/Center in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Rural Health Clinic/Center in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.