NPIMap

Organization Active NPI

Mendota Community Hospital

Doing business as OSF Saint Paul Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Mendota, IL
National Provider Identifier
1922024843
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
275N00000X Issued in IL
Legal business name
MENDOTA COMMUNITY HOSPITAL
Doing business as
OSF Saint Paul Medical Center
Practice address
1401 East 12TH Street
Mendota, IL 61342-9216
Phone
(815) 539-7461
Fax
(815) 538-5516
NPI assigned
Jul 14, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Kirsten Marie Largent
Title
Cfo
Phone
(309) 308-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 275N00000X IL Primary

Addresses

Primary practice location

1401 East 12TH Street
Mendota, IL 61342-9216

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (093) 655-2850

Other names 2

  • OSF Saint Paul Medical Center Doing business as
  • OSF HealthCare Saint Paul Medical Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000259 IL Part A Provider - Critical Access Hospital 2264335777 Practice locations: Mendota, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922024843. Details of each certification follow.

Hospital certification: CCN 14Z310

Legal name
MENDOTA COMMUNITY HOSPITAL
Doing business as
OSF SAINT PAUL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1965 in IL
Enrollment address
1401 E 12TH St
Mendota, IL 61342-9216
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Part of
Osf Healthcare System

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 DirectorBoard Member Oct 1, 2006
Dawn C Trompeter Individual W-2 Managing EmployeePresident Jan 29, 2018
Operational/Managerial Control Dec 21, 2014
Anne M Ziegler Individual Corporate DirectorBoard Member Jan 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate DirectorBoard Member Oct 1, 2006
Gerald J McShane Individual Corporate DirectorBoard Member Osf Healthcare Syst Sep 1, 1996
Osf Healthcare Ministries Organization, Peoria, IL Corporation, Non-profit Operational/Managerial Control Nov 1, 2024
Kathleen F Williams Individual Corporate OfficerAssistant Secretary Nov 1, 2014
Corporate DirectorBoard Member Jan 1, 2003
Kirsten M Largent Individual Contracted Managing EmployeeCfo, Osf Healthcare System Nov 8, 2024
Corporate OfficerChief Financial Officer Nov 8, 2024
Operational/Managerial ControlCfo, Osf Healthcare System Nov 8, 2024
Osf Healthcare System Organization, Peoria, IL Corporation, Non-profit, Chain home office Operational/Managerial Control Apr 1, 2015
Michelle D Conger Individual Corporate Officer Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial ControlCeo, Osf Healthcare System Jan 1, 2025
Judith a Duvall Individual Corporate Officer Oct 1, 2006
Corporate DirectorBoard Member Oct 1, 1989
Brian J Silverstein Individual Corporate DirectorBoard Member Osf Healthcare Syst Jan 27, 2014
Paula K Selamat Individual Corporate DirectorBoard Member Oct 6, 2024
Bridget J Meidl Individual Corporate Officer Apr 4, 2026
Corporate DirectorBoard Member 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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1922024843",
    "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": "093-655-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EAST 12TH STREET",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429216",
            "telephone_number": "815-539-7461",
            "fax_number": "815-538-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-308-5255"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "275N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Saint Paul Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Saint Paul Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF HealthCare Saint Paul Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mendota, IL

Sources for this page

Verify at the official NPI Registry.