Active NPI
Osf Healthcare System
- Rural Health Clinic/Center
- Godfrey, IL
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Other NPIs on the same Medicare enrollment9
- Related certifications (CCN)1
- Facilities with the same owner76
- Practitioners30
- Laboratory certificates & supplier records
- Medicare participation
- Rural health clinic certification: CCN 148612
- All disclosed owners & managing parties14
- All facility ownership & control disclosures45
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names2
- NPI Registry JSON
- Other providers in Godfrey, IL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- OSF HEALTHCARE SYSTEM
- Practice address
- 6702 Godfrey Rd
Godfrey, IL 62035-2205 - Phone
- (618) 467-1520
- NPI assigned
- Sep 11, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kirsten Marie Largent
- Title
- Chief Financial Officer
- Phone
- (309) 308-5255
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
O20070504000101
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Facilities with the same owner 76
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1033862743
Osf Healthcare Ministries, Osf Healthcare System
-
- Long Term Care Hospital
- Peoria, IL
- NPI 1770721508
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Mendota, IL
- NPI 1316320849
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Peru, IL
- NPI 1376391888
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Peru, IL
- NPI 1447029301
Osf Healthcare Ministries, Osf Healthcare System
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Spring Valley, IL
- NPI 1750139267
Osf Healthcare Ministries, Osf Healthcare System
-
- Medicare Defined Swing Bed Hospital Unit
- Mendota, IL
- NPI 1922024843
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Oglesby, IL
- NPI 1952159469
Osf Healthcare Ministries, Osf Healthcare System
-
- Rural Health Clinic/Center
- Kewanee, IL
- NPI 1083030233
Osf Healthcare Ministries
-
- Community Based Hospice Care Agency
- Champaign, IL
- NPI 1093208712
Osf Healthcare Ministries
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Godfrey, IL
- NPI 1063054716
-
- Family Nurse Practitioner
- Brighton, IL
- NPI 1700348349
-
- Family Medicine Physician
- Galesburg, IL
- NPI 1811577273
-
- Family Medicine Physician
- Alton, IL
- NPI 1548995897
-
- Internal Medicine Physician
- Alton, IL
- NPI 1952417578
-
- Family Nurse Practitioner
- Roanoke, IL
- NPI 1154157808
-
- Foot Surgery Podiatrist
- Peoria, IL
- NPI 1477504710
-
- Family Nurse Practitioner
- Galesburg, IL
- NPI 1740967553
-
- Family Nurse Practitioner
- Edwardsville, IL
- NPI 1134999147
-
- Physician Assistant
- Peoria, IL
- NPI 1598153512
-
- Family Nurse Practitioner
- Jerseyville, IL
- NPI 1003232489
-
- Family Medicine Physician
- Alton, IL
- NPI 1902062862
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 |
|---|---|---|---|
| 14D2138637 | Osf Healthcare Medical Group | Certificate of waiver | Oct 22, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Rural health clinic certification: CCN 148612
Medicare enrollment files- Legal name
- OSF HEALTHCARE SYSTEM
- Doing business as
- OSF HEALTHCARE - MEDICAL GROUP - GODFREY
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 17, 2020
- Last certification
- Jul 17, 2020
- Ownership / control type
- Non-profit – church related
- Organization structure
- Corporation
- Incorporated
- Jan 2, 1880 in IL
- Enrollment address
- 6702 Godfrey Rd
Godfrey, IL 62035-2205 - Related CCNs
- 140052
All disclosed owners & managing parties 14
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia a Brazeau | Corporate Officer | Oct 1, 2006 | |
| Corporate Director | Oct 1, 2006 | ||
| Anne M Ziegler | Corporate Director | Jan 1, 2021 | |
| Melanie R Mann | Corporate Officer | Oct 6, 2024 | |
| Corporate Director | Oct 1, 2006 | ||
| Gerald J McShane | Corporate Director | Sep 1, 1996 | |
| Osf Healthcare Ministries | Operational/Managerial Control | Nov 1, 2024 | |
| Kathleen F Williams | Corporate Officer | Nov 1, 2014 | |
| Corporate Director | Jan 1, 2003 | ||
| Kirsten M Largent | Corporate Officer | Nov 8, 2024 | |
| W-2 Managing Employee | Nov 8, 2024 | ||
| Operational/Managerial Control | Nov 8, 2024 | ||
| Osf Healthcare System | Operational/Managerial Control | Sep 27, 2019 | |
| Michelle D Conger | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jan 1, 2025 | ||
| W-2 Managing Employee | Jan 1, 2025 | ||
| Operational/Managerial Control | Jan 1, 2025 | ||
| Robert C Sehring | Corporate Officer | Oct 20, 2017 | |
| Corporate Director | Oct 20, 2017 | ||
| W-2 Managing Employee | Oct 20, 2017 | ||
| Operational/Managerial Control | Oct 20, 2017 | ||
| Judith a Duvall | Corporate Officer | Oct 1, 2006 | |
| Corporate Director | Oct 1, 1989 | ||
| Brian J Silverstein | Corporate Director | Oct 1, 2015 | |
| Paula K Selamat | Corporate Director | Oct 6, 2024 | |
| Bridget J Meidl | Corporate Director | Nov 1, 2014 |
All facility ownership & control disclosures 45
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Osf Saint Anthony Medical Center | Hospital | Operational/Managerial Control | Sep 1, 2007 |
| Osf Saint Francis Medical Center | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Osf Saint Paul Medical Center | Hospital | Operational/Managerial Control | Apr 1, 2015 |
| Osf Saint Paul Medical Center | Hospital | Operational/Managerial Control | Apr 1, 2015 |
| Osf Saint Elizabeth Medical Center | Hospital | Operational/Managerial Control (100%) | Apr 30, 2012 |
| St Joseph Medical Center | Hospital | Operational/Managerial Control | Jun 1, 1969 |
| Osf Saint James-John W Albrecht Medical Center | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Osf Saint James-John W Albrecht Medical Center | Hospital | Operational/Managerial Control | May 4, 2010 |
| Osf Saint Mary Medical Center | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Osf Healthcare Divine Mercy Continuing Care Hospital | Hospital | Operational/Managerial Control | Oct 1, 2023 |
| Osf Healthcare St. Francis Hospital & Medical Group | Hospital | Operational/Managerial Control | Jul 25, 2012 |
| Osf Healthcare St. Francis Hospital & Medical Group | Hospital | Operational/Managerial Control | Jul 25, 2012 |
| Osf Healthcare Divine Mercy Continuing Care Hospital | Hospital | Operational/Managerial Control | Oct 1, 2023 |
| Osf Healthcare Home Care | Home health agency | Operational/Managerial Control | Sep 10, 2010 |
| Saint Francis Medical Center Home Health | Home health agency | Operational/Managerial Control | Aug 26, 2010 |
| Osf St Francis Hospital Home Health Care | Home health agency | Operational/Managerial Control | Jun 1, 1968 |
| St Francis Hospital | Rural health clinic | Operational/Managerial Control | Nov 3, 1983 |
| Osf Healthcare - Medical Group - Escanaba | Rural health clinic | Operational/Managerial Control | Sep 1, 2007 |
| St Francis Hospital | Rural health clinic | Operational/Managerial Control | Sep 1, 2007 |
| Osf Healthcare - Medical Group - Mendota | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
| Osf Healthcare - Medical Group - Streator | Rural health clinic | Operational/Managerial Control | Apr 5, 2021 |
| Osf Healthcare - Medical Group - Pontiac | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Reynolds | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Dwight | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - El Paso | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Flanagan | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Galesburg | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Abingdon | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Knoxville | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Promptcare - Galesburg | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Seminary | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Fairbury | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Marseilles | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Ottawa South | Rural health clinic | Operational/Managerial Control | Apr 30, 2012 |
| Osf Healthcare - Medical Group - Ottawa | Rural health clinic | Operational/Managerial Control | Apr 30, 2012 |
| Osf Healthcare - Medical Group - Minonk | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Cullom | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Clinton | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Roanoke | Rural health clinic | Operational/Managerial Control | Jan 1, 1966 |
| Osf Healthcare - Medical Group - Rock Cut | Rural health clinic | Operational/Managerial Control | Sep 1, 2007 |
| Osf Healthcare - Medical Group - Midtown | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
| Osf Healthcare - Medical Group - Spring Valley | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
| Osf Healthcare - Medical Group - Oglesby | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
| Osf Healthcare - Medical Group - Plaza | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
| Osf Healthcare - Medical Group - Granville | Rural health clinic | Operational/Managerial Control | Apr 1, 2015 |
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070504000101 | IL | Part B Supplier - Hospital Department(S) | 4284541806 |
Receives reassigned benefits from 196 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oak Lawn, IL; Urbana, IL; Princeton, IL; Palos Heights, IL; Monmouth, IL; Godfrey, IL; Evergreen Park, IL; Dixon, IL… |
| O20191011000140 | IL | Part a Provider - Rural Health Clinic | 4284541806 | Practice locations: Godfrey, IL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6702 Godfrey Rd
Godfrey, IL 62035-2205
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other names 2
NPPES NPI Registry- OSF HEALTHCARE - MEDICAL GROUP - GODFREY
- OSF Medical Group- Godfrey
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2026.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1861041980",
"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": "309-624-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6702 GODFREY RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352205",
"telephone_number": "618-467-1520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSF HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "LARGENT",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "309-308-5255"
},
"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 - GODFREY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "OSF Medical Group- Godfrey",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- 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.