Provider Demographics
NPI:1043260482
Name:SAINT FRANCIS MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT FRANCIS MEDICAL CENTER
Other - Org Name:OSF SAINT FRANCIS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-655-2850
Mailing Address - Street 1:124 SW ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61602-1308
Mailing Address - Country:US
Mailing Address - Phone:309-655-2850
Mailing Address - Fax:309-655-4878
Practice Address - Street 1:530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-655-2000
Practice Address - Fax:309-655-7869
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSF HEALTHCARE SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL002394282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCE2365OtherMEDICARE RR GROUP#
IL000721594OtherBLUE CROSS (PROFESSIONAL)
MO010417004Medicaid
IL0118OtherBLUE CROSS
ILCA3486OtherMEDICARE RR GOUP#
ILDB3797OtherMEDICARE RR GROUP#
IL=========-61637-04OtherHFS PAYEE NUMBER
ILCE2365OtherMEDICARE RR GROUP#
ILDB3797OtherMEDICARE RR GROUP#
IL=========-60137-01OtherHFS PAYEE NUMBER
IL=========-61637-13OtherHFS PAYEE NUMBER
ILCA3486OtherMEDICARE RR GOUP#
MO010417004Medicaid
MO010417004Medicaid