NPIMap

Organization Active NPI

Saint James Hospital

Doing business as OSF Healthcare - Streator Medical Group

  • Rural Health Clinic/Center
  • Streator, IL
National Provider Identifier
1891399432
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT JAMES HOSPITAL
Doing business as
OSF Healthcare - Streator Medical Group
Practice address
111 Spring St FL 4
Streator, IL 61364-3332
Phone
(815) 672-4587
NPI assigned
Nov 24, 2020
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Kirsten M Largent
Title
Chief Financial Officer
Phone
(309) 308-5255

Specialties & licenses 1

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

Addresses

Primary practice location

111 Spring St FL 4
Streator, IL 61364-3332

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850

Other identifiers 1

IdentifierTypeStateIssuer
022MedicaidIL

Other names 1

  • OSF Healthcare - Streator Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050713000208 IL Part B Supplier - Clinic/Group Practice 0648187252 Receives reassigned benefits from 50 practitioners
1 other NPI on this enrollment
Practice locations: Streator, IL
O20201215003080 IL Part A Provider - Rural Health Clinic 0648187252 Practice locations: Streator, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891399432. Details of each certification follow.

Rural health clinic certification: CCN 148624

Legal name
SAINT JAMES HOSPITAL
Doing business as
OSF HEALTHCARE - MEDICAL GROUP - STREATOR
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 5, 2021
Last certification
Apr 6, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
111 Spring St
FL 4
Streator, IL 61364-3332
Related CCNs
140161

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

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
14D0431141Osf Healthcare - Medical Group - Streator111 Spring St - FL 4, Streator, IL 61364Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory
Part of
Eastland Med Plaza Surg

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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
Anne M Ziegler Individual Corporate Director Jan 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
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
Osf Healthcare System Organization, Peoria, IL Corporation, Non-profit, Chain home office Operational/Managerial Control Apr 5, 2021
Michelle D Conger Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2025
W-2 Managing EmployeePresident Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Robert C Sehring Individual Corporate Officer Oct 20, 2017
Corporate Director Oct 20, 2017
W-2 Managing EmployeeChief Executive Officer 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
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 1

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

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 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1891399432",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPRING ST FL 4",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613643332",
            "telephone_number": "815-672-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JAMES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "M",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Healthcare - Streator Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streator, IL

Sources for this page

Verify at the official NPI Registry.