Organization · Type 2 NPI

Osf Healthcare System

Rural Health Clinic/Center · Roseville, IL

NPI number 1730788902 Active

Practice location

235 E Penn Ave
Roseville, IL 61473-5006

Call (309) 426-2128 Map

Fax (309) 426-2455

Mailing address

124 SW Adams St
Peoria, IL 61602-1308

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1730788902
Entity type: Organization (Type 2)
Issued: Oct 20, 2020
Last updated: Mar 18, 2024
Status: Active

Other names

<unavail>
Osf Holy Family Medical Center · doing business as
Osf Medical Group Family Medicine Roseville · other name
Osf Medical Group Family Medicine Roseville · other name

Authorized official

Robert C Sehring
Chief Executive Officer
(309) 655-2850

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730788902

Osf Healthcare System's National Provider Identifier is 1730788902, issued on Oct 20, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Roseville, IL. The record was last updated on Mar 18, 2024.