Organization Active NPI

Ottawa Regional Hospital & Healthcare Center

  • Community Based Hospice Care Agency
  • Ottawa, IL
National Provider Identifier
1992862536
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001394 Issued in IL
Legal business name
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Practice address
1601 Mercury Circle
Ottawa, IL 61350-9333
Phone
(815) 433-6090
Fax
(815) 431-5582
NPI assigned
Jan 2, 2007
Organization subpart
Yes
Parent organization
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Robert C Sehring
Title
Ceo
Phone
(309) 655-2850

National Provider Directory

National Provider Directory
Part of
Comm Hospital of Ottawa

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001394 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1601 Mercury Circle
Ottawa, IL 61350-9333

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2001394OtherILIL DEPT OF PUBLIC HEALTH
9554OtherBLUE CROSS BLUE SHIELD IL

Other names 1

NPPES NPI Registry
  • Ottawa Regional Hospice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2024.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1992862536",
    "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": "1601 MERCURY CIRCLE",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509333",
            "telephone_number": "815-433-6090",
            "fax_number": "815-431-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPT OF PUBLIC HEALTH",
            "identifier": "2001394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "9554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottawa Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.