Organization Active NPI

Osf Healthcare System

Doing business as OSF Medical Group - Sheffield

  • Rural Health Clinic/Center
  • Sheffield, IL
National Provider Identifier
1508343203
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
OSF HEALTHCARE SYSTEM
Doing business as
OSF Medical Group - Sheffield
Practice address
240 N Mason St
Sheffield, IL 61361-9158
Phone
(815) 454-2811
Fax
(309) 655-4878
NPI assigned
Jul 25, 2018
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

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
Phone
(309) 655-2850

Specialties & licenses 1

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

Addresses

Primary practice location

240 N Mason St
Sheffield, IL 61361-9158

Mailing address

124 SW Adams St
Peoria, IL 61602-1320
Phone (309) 655-2865

Other names 1

  • OSF Medical Group - Sheffield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180816003241 IL Part A Provider - Rural Health Clinic 4284541806 Practice locations: Sheffield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508343203. Details of each certification follow.

Rural health clinic certification: CCN 148594

Legal name
OSF HEALTHCARE SYSTEM
Doing business as
OSF HEALTHCARE - MEDICAL GROUP - SHEFFIELD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 13, 2018
Last certification
Oct 12, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 2, 1880 in IL
Enrollment address
240 N Mason St
Sheffield, IL 61361-9158
Related CCNs
141325

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

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
14D0997364Osf Healthcare - Medical Group - Sheffield240 N Mason St, Sheffield, IL 61361Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Eastland Med Plaza Surg50 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.

View all 49

Locations

240 N Mason St
Sheffield, IL 61361
Phone (815) 454-2811

Ownership & related parties

All disclosed owners & managing parties 16

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 Director Oct 1, 2006
Timothy Allen Pratt Individual Contracted Managing EmployeePhysician Director Sep 12, 2023
Operational/Managerial Control Sep 12, 2023
Anne M Ziegler Individual Corporate Director Jul 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate Director Oct 1, 2006
Gerald J McShane Individual Corporate Director 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 Director Jan 1, 2003
Jacqueline D Kernan Individual W-2 Managing Employee Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
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
Holly Lee Gustafson-Hicks Individual Contracted Managing EmployeeClinic Manager Sep 12, 2023
Operational/Managerial Control Sep 12, 2023
Robert C Sehring Individual Corporate Officer Oct 20, 2017
Corporate Director Oct 20, 2017
W-2 Managing Employee Oct 20, 2017
Operational/Managerial ControlChief Executive Officer Oct 20, 2017
Judith a Duvall Individual Corporate Officer Oct 1, 2006
Corporate Director Oct 1, 1989
Carisa a Neumann Individual Corporate Director Jul 1, 2021
Brian J Silverstein Individual Corporate Director Oct 1, 2015
Paula K Selamat Individual Corporate Director Oct 6, 2024
Bridget J Meidl Individual Corporate Director Nov 1, 2014

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 46

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

FacilityTypeRoleSince
Osf Saint Anthony Medical CenterRockford, IL, CCN 140233 Hospital Operational/Managerial Control Sep 1, 2007
Osf Saint Francis Medical CenterPeoria, IL, CCN 149807 Hospital Operational/Managerial Control Jul 1, 1966
Osf Saint Paul Medical CenterMendota, IL, CCN 141310 Hospital Operational/Managerial Control Apr 1, 2015
Osf Saint Paul Medical CenterMendota, IL, CCN 14Z310 Hospital Operational/Managerial Control Apr 1, 2015
Osf Saint Elizabeth Medical CenterPeru, IL, CCN 140110 Hospital Operational/Managerial Control (100%) Apr 30, 2012
St Joseph Medical CenterBloomington, IL, CCN 140162 Hospital Operational/Managerial Control Jun 1, 1969
Osf Saint James-John W Albrecht Medical CenterPontiac, IL, CCN 140161 Hospital Operational/Managerial Control Jul 1, 1966
Osf Saint James-John W Albrecht Medical CenterPontiac, IL, CCN 14U161 Hospital Operational/Managerial Control May 4, 2010
Osf Saint Mary Medical CenterGalesburg, IL, CCN 140064 Hospital Operational/Managerial Control Jul 1, 1966
Osf Healthcare Divine Mercy Continuing Care HospitalPeoria, IL, CCN 142013 Hospital Operational/Managerial Control Oct 1, 2023
Osf Healthcare St. Francis Hospital & Medical GroupEscanaba, MI, CCN 231337 Hospital Operational/Managerial Control Jul 25, 2012
Osf Healthcare St. Francis Hospital & Medical GroupEscanaba, MI, CCN 23Z337 Hospital Operational/Managerial Control Jul 25, 2012
Osf Healthcare Divine Mercy Continuing Care HospitalPeoria, IL, CCN 14TA13 Hospital Operational/Managerial Control Oct 1, 2023
Osf Healthcare Home CareLoves Park, IL, CCN 147271 Home health agency Operational/Managerial Control Sep 10, 2010
Saint Francis Medical Center Home HealthPeoria, IL, CCN 147243 Home health agency Operational/Managerial Control Aug 26, 2010
Osf St Francis Hospital Home Health CareEscanaba, MI, CCN 237239 Home health agency Operational/Managerial Control Jun 1, 1968
St Francis HospitalGladstone, MI, CCN 238589 Rural health clinic Operational/Managerial Control Nov 3, 1983
Osf Healthcare - Medical Group - EscanabaEscanaba, MI, CCN 238590 Rural health clinic Operational/Managerial Control Sep 1, 2007
St Francis HospitalPowers, MI, CCN 238616 Rural health clinic Operational/Managerial Control Sep 1, 2007
Osf Healthcare - Medical Group - MendotaMendota, IL, CCN 148535 Rural health clinic Operational/Managerial Control Apr 1, 2015
Osf Healthcare - Medical Group - GodfreyGodfrey, IL, CCN 148612 Rural health clinic Operational/Managerial Control Sep 27, 2019
Osf Healthcare - Medical Group - StreatorStreator, IL, CCN 148624 Rural health clinic Operational/Managerial Control Apr 5, 2021
Osf Healthcare - Medical Group - PontiacPontiac, IL, CCN 148654 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - ReynoldsPontiac, IL, CCN 148650 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - DwightDwight, IL, CCN 148641 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - El PasoEl Paso, IL, CCN 148642 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - FlanaganFlanagan, IL, CCN 148644 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - GalesburgGalesburg, IL, CCN 148645 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - AbingdonAbingdon, IL, CCN 148638 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - KnoxvilleKnoxville, IL, CCN 148648 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Promptcare - GalesburgGalesburg, IL, CCN 148646 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - SeminaryGalesburg, IL, CCN 148651 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - FairburyFairbury, IL, CCN 148643 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - MarseillesMarseilles, IL, CCN 148649 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - Ottawa SouthOttawa, IL, CCN 148652 Rural health clinic Operational/Managerial Control Apr 30, 2012
Osf Healthcare - Medical Group - OttawaOttawa, IL, CCN 148655 Rural health clinic Operational/Managerial Control Apr 30, 2012
Osf Healthcare - Medical Group - MinonkMinonk, IL, CCN 148653 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - CullomCullom, IL, CCN 148640 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - ClintonClinton, IL, CCN 148639 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - RoanokeRoanoke, IL, CCN 148658 Rural health clinic Operational/Managerial Control Jan 1, 1966
Osf Healthcare - Medical Group - Rock CutLoves Park, IL, CCN 148663 Rural health clinic Operational/Managerial Control Sep 1, 2007
Osf Healthcare - Medical Group - MidtownPeru, IL, CCN 148670 Rural health clinic Operational/Managerial Control Apr 1, 2015
Osf Healthcare - Medical Group - Spring ValleySpring Valley, IL, CCN 148668 Rural health clinic Operational/Managerial Control Apr 1, 2015
Osf Healthcare - Medical Group - OglesbyOglesby, IL, CCN 148667 Rural health clinic Operational/Managerial Control Apr 1, 2015
Osf Healthcare - Medical Group - PlazaPeru, IL, CCN 148665 Rural health clinic Operational/Managerial Control Apr 1, 2015
Osf Healthcare - Medical Group - GranvilleGranville, IL, CCN 148671 Rural health clinic Operational/Managerial Control Apr 1, 2015

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 2

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1508343203",
    "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": "309-655-2865",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N MASON ST",
            "city": "SHEFFIELD",
            "state": "IL",
            "postal_code": "613619158",
            "telephone_number": "815-454-2811",
            "fax_number": "309-655-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Medical Group - Sheffield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheffield, IL

Sources for this page

Verify at the official NPI Registry.