Organization · Type 2 NPI

Saint James Hospital

Rural Health Clinic/Center · Fairbury, IL

NPI number 1912622374 Active

Practice location

106 S 1st St
Fairbury, IL 61739-1509

Call (815) 692-2308 Map

Fax (815) 692-3278

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

Katelyn J. Stites, APN, NP-CFamily Nurse Practitioner Fairbury, IL NPI 1013480763
Rebecca Renae Walz, PA-CPhysician Assistant Fairbury, IL NPI 1063387934

NPI record

NPI: 1912622374
Entity type: Organization (Type 2)
Issued: Oct 7, 2022
Last updated: Jul 31, 2024
Status: Active
Subpart: Yes of Osf Healthcare System

Other names

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Osf Healthcare - Medical Group - Fairbury · doing business as

Authorized official

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

Verify this record

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 1912622374

Saint James Hospital's National Provider Identifier is 1912622374, issued on Oct 7, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fairbury, IL. The record was last updated on Jul 31, 2024.