St Joseph Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0002535 Issued in IL

Legal business name

ST JOSEPH MEDICAL CENTER

Doing business as

OSF Saint Joseph Medical Center

Practice address

2200 E Washington St
Bloomington, IL 61701-4364

Phone

(309) 662-3311

Fax

(309) 662-7143

NPI assigned

Jun 5, 2006

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OSF HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Robert C Sehring

Title

Chief Executive Officer

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OSF Saint Joseph Medical Center Doing business as

Part of

Osf Healthcare System

Member of 1

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

• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Clinic/Center
  • Princeton, IL
  • NPI 1790363505

  Member Of

  NPD member

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1932148236",
    "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": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-662-3311",
            "fax_number": "309-662-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0002535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Saint Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Joseph Medical Center (OSF Saint Joseph Medical Center)
• St Joseph Medical Center (OSF Home Health-Eastern Region)
• St Joseph Medical Center (OSFMG - Bloomington)
• St Joseph Medical Center (HeartCare Midwest)
• St Joseph Medical Center (St Joseph Medical Center Occupational Health)
• St. Joseph Medical Center (OSF Hospice-Eastern Region)
• Richard Lee Stallman, R.PH
• Kyle Stang, MD
• Emmie Stanifer
• Daniel Warren Steadman, D.D.S.

• Skilled Nursing Facility in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Skilled Nursing Facility in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.