Mendota Community Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1007491 Issued in IL

Legal business name

MENDOTA COMMUNITY HOSPITAL

Practice address

909 Main St
Mendota, IL 61342-1654

Phone

(815) 539-1421

Fax

(815) 539-5507

NPI assigned

Dec 28, 2005

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 Osf Healthcare System

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1689651929",
    "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": "909 MAIN ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613421654",
            "telephone_number": "815-539-1421",
            "fax_number": "815-539-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mendota Community Hospital
• Mendota Community Hospital (OSF Medical Group-Mendota)
• Mendota Community Hospital (OSF Saint Paul Medical Center)
• Mendota Community Hospital
• Mendota Community Hospital (OSF Saint Paul Medical Center)
• Mendota Community Hospital (OSF Saint Paul Medical Center)
• Mendota Community Hospital
• Mendota Community Hospital (OSF Saint Paul Medical Center)
• Mendota TWP H S Dist 280
• Michael P. Vercimak MDSC

• Home Health Agency in Mendota, IL
• Providers in Mendota, IL by specialty
• Home Health Agency 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.