Organization · Type 2 NPI

ST Mary Medical Center

Rural Health Clinic/Center · Knoxville, IL

NPI number 1801512165 Active

Practice location

104 S Broad St
Knoxville, IL 61448-1339

Call (309) 289-2335 Map

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...

Another provider at this address

Clyde GradyFamily Medicine Physician Knoxville, IL NPI 1851484075

NPI record

NPI: 1801512165
Entity type: Organization (Type 2)
Issued: Oct 18, 2022
Last updated: Mar 18, 2024
Status: Active
Subpart: Yes of Osf Healthcare System

Other names

<unavail>
Osf Healthcare - Medical Group - Knoxville · doing business as

Authorized official

Robert C Sehring
CEO, Osf Healthcare System
(309) 655-2850

Verify this record

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About NPI 1801512165

ST Mary Medical Center's National Provider Identifier is 1801512165, issued on Oct 18, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Knoxville, IL. The record was last updated on Mar 18, 2024.