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
- 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
- Code Navigator
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
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.
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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. | |||||||||
| 1 | 4 | 4 | 7 | 0 | 2 | 9 | 3 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 0 | 2 | 18 | 3 | 0 | |
| 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 = 1 | 1 | ||||||||
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 Assistant | 1650 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 |
| 1780821181 | DR. ROBERT JAMES KOOGLER M.D. Individual | Preventive Medicine (Occupational Medicine) | 1650 MIDTOWN RD PERU, IL 61354 (815) 220-0075 |
| 1346393428 | DR. JOHN M CURTIN DO Individual | Family Medicine | 1650 MIDTOWN RD PERU, IL 61354 (815) 223-6843 |
| 1487197745 | MRS. ALISHA JACKSON FNP Individual | Nurse Practitioner (Family) | 1650 MIDTOWN RD PERU, IL 61354 (815) 220-2645 |
| 1700141009 | ANDREW ZIDOW MD Individual | Family Medicine | 1650 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 |
| 1356904163 | ST MARGARET'S HEALTH-SPRING VALLEY Organization | Clinic/Center (Rural Health) | 1650 MIDTOWN RD PERU, IL 61354 (815) 223-6843 |
| 1215354246 | DR. GRANT M REED DO Individual | Family Medicine | 1650 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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