OSF ONCALL URGENT CARE - SHERIDAN SQUARE
NPI 1598359127
Non-Pharmacy Dispensing Site in Peoria, IL
NPI Status: Active since February 24, 2021
Contact Information
3626 N SHERIDAN RD
PEORIA, IL
ZIP 61604
Phone: (309) 308-5100
Fax: (309) 621-4199
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 14D0930244
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About OSF ONCALL URGENT CARE - SHERIDAN SQUARE
This page provides the complete NPI Profile along with additional information for Osf Oncall Urgent Care - Sheridan Square, a provider established in Peoria, Illinois operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1598359127 assigned on February 2021. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Osf Oncall Urgent Care - Sheridan Square. The authorized official of this NPI record is Robert C Sehring (Ceo)
- NPI
- 1598359127
- Provider Legal Name
- OSF MULTI-SPECIALTY GROUP
- Other Organization Name
- OSF ONCALL URGENT CARE - SHERIDAN SQUARE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3626 N SHERIDAN RD PEORIA, IL 61604
- Location Phone
- (309) 308-5100
- Location Fax
- (309) 621-4199
- Mailing Address
- 124 SW ADAMS ST PEORIA, IL 61602
- Mailing Phone
- (309) 655-2850
- Mailing Fax
- (309) 621-4199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-24-2021
- Last Update Date
- 03-07-2024
- Code Navigator
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 14D0930244
- Facility Type
- Physician Office
- Certificate Effective Date
- July 01, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- JASON BECKER M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Osf Oncall Urgent Care - Sheridan Square to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 9 | 8 | 3 | 5 | 9 | 1 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 6 | 5 | 18 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 6 + 5 + 1 + 8 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1598359127 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790453702 | ANDREA N MACHNACKI APRN, CNP Individual | Nurse Practitioner (Family) | 3626 N SHERIDAN RD PEORIA, IL 61604 (309) 308-5100 |
| 1114763737 | MELISSA M THEOBALD FNP Individual | Nurse Practitioner (Family) | 3626 N SHERIDAN RD PEORIA, IL 61604 (309) 308-5100 |
| 1740063148 | ALYSSA WILLIAMS BLAKE Individual | Nurse Practitioner (Acute Care) | 3626 N SHERIDAN RD PEORIA, IL 61604 (309) 308-5100 |
| 1386446110 | MRS. TIFFANY ASHBY-FUNCHES APN, FNP-BC Individual | Nurse Practitioner (Family) | 3626 N SHERIDAN RD PEORIA, IL 61604 (309) 308-5100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598359127, enumerated in the NPI registry as an "organization" on February 24, 2021
The provider is located at 3626 N Sheridan Rd Peoria, Il 61604 and the phone number is (309) 308-5100
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider's CLIA number is 14D0930244 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 24, 2021. 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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