OSF HEALTHCARE - MEDICAL GROUP - MIDTOWN
NPI 1447029301
Clinic/Center - Rural Health in Peru, IL

NPI Status: Active since December 20, 2023

Contact Information

1650 MIDTOWN RD
PERU, IL
ZIP 61354
Phone: (815) 539-1464
Fax: (815) 539-1461

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 14D2284932
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-29-2026

About OSF HEALTHCARE - MEDICAL GROUP - MIDTOWN

This page provides the complete NPI Profile along with additional information for Osf Healthcare - Medical Group - Midtown, a primary care provider established in Peru, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1447029301 assigned on December 2023. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Osf Healthcare - Medical Group - Midtown. The authorized official of this NPI record is Robert C Sehring (Ceo, Osf Healthcare System)

NPI
1447029301
Provider Legal Name
MENDOTA COMMUNITY HOSPITAL
Other Organization Name
OSF HEALTHCARE - MEDICAL GROUP - MIDTOWN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1650 MIDTOWN RD PERU, IL 61354
Location Phone
(815) 539-1464
Location Fax
(815) 539-1461
Mailing Address
124 SW ADAMS ST PEORIA, IL 61602
Mailing Phone
(309) 655-2850
Mailing Fax
(815) 539-1461
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-20-2023
Last Update Date
03-18-2024
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A primary care provider (PCP) like Osf Healthcare - Medical Group - Midtown sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT C SEHRING

Authorized Official Title
CEO, OSF HEALTHCARE SYSTEM
Authorized Official Phone
(309) 655-2850

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2284932
Facility Type
Rural Health Clinic
Certificate Effective Date
May 30, 2024
Certificate Expiration Date
May 29, 2026
Laboratory Director
GRANT REED
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Osf Healthcare - Medical Group - Midtown in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for OSF HEALTHCARE - MEDICAL GROUP - MIDTOWN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447029301
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487021830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 0 + 2 + 1 + 8 + 3 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1447029301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861644734 KRISTIE L SHIN PA-C
Individual
Physician Assistant1650 MIDTOWN RD
PERU, IL 61354
(815) 223-0203
1275842650 DEBRA HERZ FNP-BC
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 223-2808
1780821181DR. ROBERT JAMES KOOGLER M.D.
Individual
Preventive Medicine (Occupational Medicine)1650 MIDTOWN RD
PERU, IL 61354
(815) 220-0075
1346393428DR. JOHN M CURTIN DO
Individual
Family Medicine1650 MIDTOWN RD
PERU, IL 61354
(815) 223-6843
1487197745MRS. ALISHA JACKSON FNP
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 220-2645
1700141009 ANDREW ZIDOW MD
Individual
Family Medicine1650 MIDTOWN RD
PERU, IL 61354
(815) 220-1122
1255844189 KEITH CHRISTENSEN APN, FNP
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 664-5311
1003388463 TIFFANY ANN SHINNICK
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 220-2645
1356904163ST MARGARET'S HEALTH-SPRING VALLEY
Organization
Clinic/Center (Rural Health)1650 MIDTOWN RD
PERU, IL 61354
(815) 223-6843
1215354246DR. GRANT M REED DO
Individual
Family Medicine1650 MIDTOWN RD
PERU, IL 61354
(815) 223-2807
1992407738 AMY GAIL CORSOLINI
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(816) 220-2645
1043943830 MELISSA ELVIRA RAMIREZ MSN, FNP-C
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 223-6843
1427741933 BRIDGET A PRATT FNP
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 223-6843
1396110490 LAURA OBERHOLZ FNP
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 664-1664
1003572470 SHANNON LYNN HILLER APRN
Individual
Nurse Practitioner (Family)1650 MIDTOWN RD
PERU, IL 61354
(815) 223-6843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447029301, enumerated in the NPI registry as an "organization" on December 20, 2023

The provider is located at 1650 Midtown Rd Peru, Il 61354 and the phone number is (815) 539-1464

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider's CLIA number is 14D2284932 for a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on December 20, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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