Active NPI
St. Joseph Medical Center
- Rural Health Clinic/Center
- Clinton, IL
National Provider Identifier
1528095510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- ST. JOSEPH MEDICAL CENTER
- Practice address
- 1231 Kleeman Dr.
Clinton, IL 61727 - Phone
- (800) 589-6070
- NPI assigned
- Jun 27, 2006
- Organization subpart
- Yes
- Parent organization
- OSF HEALTHCARE SYSTEM
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1231 Kleeman Dr.
Clinton, IL 61727
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other names 1
- OSF Medical Group-Clinton
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0678988 | Osf Healthcare - Medical Group - Clinton | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider Directory- Part of
- Eastland Med Plaza Surg
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1528095510",
"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": "1231 KLEEMAN DR.",
"city": "CLINTON",
"state": "IL",
"postal_code": "61727",
"telephone_number": "800-589-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
"enumeration_date": "2006-06-27",
"last_updated": "2024-03-14",
"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
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OSF Medical Group-Clinton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.