Organization · Type 2 NPI

Mendota Community Hospital

Medicare Defined Swing Bed Hospital Unit · Mendota, IL

NPI number 1922024843 Active

Practice location

1401 East 12th Street
Mendota, IL 61342-9216

Call (815) 539-7461 Map

Fax (815) 538-5516

Mailing address

124 SW Adams St
Peoria, IL 61602-1308

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	275N00000X (IL)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

8 other providers at this address

NPI record

NPI: 1922024843
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Apr 2, 2026
Status: Active
Subpart: Yes of Osf Healthcare System

Other names

<unavail>
Osf Saint Paul Medical Center · doing business as
Osf Saint Paul Medical Center · doing business as
Osf Healthcare Saint Paul Medical Center · other name

Authorized official

Kirsten Marie Largent
CFO
(309) 308-5255

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 1922024843

Mendota Community Hospital's National Provider Identifier is 1922024843, issued on Jul 14, 2006. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Mendota, IL. The record was last updated on Apr 2, 2026.