1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. General Acute Care Hospital
  6. NPI Profile

ST JOSEPH MEDICAL CENTER MEDICAID PRO FEES
NPI 1184732851
General Acute Care Hospital in Bloomington, IL

Active since August 25, 2006CLIA 14D0432348 · Accreditation
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3311 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Joseph Medical Center Medicaid Pro Fees NPPES

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

ST JOSEPH MEDICAL CENTER MEDICAID PRO FEES (NPI 1184732851) is a healthcare organization registered as a general acute care hospital in Bloomington, Illinois and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Robert C. Sehring, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184732851
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST JOSEPH MEDICAL CENTER
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 655-2850 · Fax (309) 655-4878
Phone(309) 662-3311
Organization SubpartYesParent: Osf Healthcare System
Authorized OfficialRobert C. SehringCeo · (309) 655-2850
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1184732851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IL · 0002535
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2200 E WASHINGTON ST, Bloomington, IL 61701
Open in Google Maps ↗

Other Names 1

Other NameSt Joseph Medical Center Medicaid Pro Fees

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 Accreditation 14D0432348

St Joseph Medical Center · Bloomington, IL
Active · expires Jan 2, 2027
CLIA Number14D0432348
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Jerome D. Anderson
Laboratory Phone(309) 662-3311
Laboratory LocationSt Joseph Medical Center2200 E Washington St, Bloomington, IL 61701
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

KRISTA ELISABETH BAJJALIEH OTR/L
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
CRYSTAL LAMONT DNP, CRNA
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
DR. RICHARD SABBUN M.D.
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 665-5925
BAILEY WILSON
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-6275
MR. MICHAEL DANTI NOVARIO R.PH.
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-5191
MS. NARUMON HONGRATTANAVORAKIT
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-5190
YUWADEE H JOHNSON PHARMACY INTERN
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
TERRY M BRADY MD
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 St Joseph Medical Center's NPI number?

The NPI number for St Joseph Medical Center is 1184732851. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is also known as St Joseph Medical Center Medicaid Pro Fees.

Where is St Joseph Medical Center located?

St Joseph Medical Center is located at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is St Joseph Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does St Joseph Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0432348) is associated with this NPI, valid through January 2, 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 St Joseph Medical Center was last updated on March 14, 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.