OSF HEALTHCARE - MEDICAL GROUP - OTTAWA SOUTH
NPI 1154048833
Clinic/Center - Rural Health in Ottawa, IL

Active since October 24, 2022CLIA 14D2106691 · Waiver
1640 1ST AVE, OTTAWA, IL 61350(815) 431-9208 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Nov 10, 2022, Nov 1, 2022 and 1 more (4 updates tracked since 2022).

About Osf Healthcare - Medical Group - Ottawa South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSF HEALTHCARE - MEDICAL GROUP - OTTAWA SOUTH (NPI 1154048833) is a healthcare organization registered as a rural health in Ottawa, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Robert C Sehring, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154048833
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameOTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Location Address1640 1ST AVEOttawa, IL 61350-9214
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 655-2850 · Fax (309) 655-4878
Organization SubpartYesParent: Osf Healthcare System
Authorized OfficialRobert C SehringCeo · (309) 655-2850
Enumeration DateOctober 24, 2022
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1154048833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1640 1ST AVE, Ottawa, IL 61350

Other Names 1

Doing Business AsOsf Healthcare - Medical Group - Ottawa South

Other Identifiers 1

Medicaid999IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2106691

Osf Healthcare -Medical Group - Ottawa South · Ottawa, IL
Active · expires Dec 22, 2027
CLIA Number14D2106691
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorUshasri Koganti
Laboratory Phone(815) 431-9208
Laboratory LocationOsf Healthcare -Medical Group - Ottawa South1640 1st Ave, Ottawa, IL 61350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
1640 1ST AVE
OTTAWA, IL 61350
Emergency Medicine
1640 1ST AVE
OTTAWA, IL 61350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ottawa Regional Hospital & Healthcare Center's NPI number?

The NPI number for Ottawa Regional Hospital & Healthcare Center is 1154048833. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is doing business as Osf Healthcare - Medical Group - Ottawa South.

Where is Ottawa Regional Hospital & Healthcare Center located?

Ottawa Regional Hospital & Healthcare Center is located at 1640 1st Ave, Ottawa, IL 61350. The listed phone number is (815) 431-9208.

What is Ottawa Regional Hospital & Healthcare Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Ottawa Regional Hospital & Healthcare Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2106691) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ottawa Regional Hospital & Healthcare Center was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.