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OSF HEALTHCARE - MEDICAL GROUP - PONTIAC
NPI 1447976113
Clinic/Center - Rural Health in Pontiac, IL

Active since October 14, 2022CLIA 14D0875476 · Waiver
2500 W REYNOLDS ST, SUITE 203, 205, 207, PONTIAC, IL 61764(815) 844-2001(309) 655-4878 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, Oct 21, 2022, Oct 14, 2022 (3 updates tracked since 2022).

About Osf Healthcare - Medical Group - Pontiac NPPES

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

OSF HEALTHCARE - MEDICAL GROUP - PONTIAC (NPI 1447976113) is a healthcare organization registered as a rural health in Pontiac, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Robert C Sehring, Ceo, Osf Healthcare System, as its authorized official.

NPPES Registry Identity

NPI1447976113
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSAINT JAMES HOSPITAL
Location Address2500 W REYNOLDS ST, SUITE 203, 205, 207Pontiac, IL 61764-9774
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 655-2850 · Fax (309) 655-4878
Phone(815) 844-2001
Fax(309) 655-4878
Organization SubpartYesParent: Osf Healthcare System
Authorized OfficialRobert C SehringCeo, Osf Healthcare System · (309) 655-2850
Enumeration DateOctober 14, 2022
Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1447976113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2500 W REYNOLDS ST, Pontiac, IL 61764
Open in Google Maps ↗

Other Names 1

Doing Business AsOsf Healthcare - Medical Group - Pontiac

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 14D0875476

Osf Healthcare - Medical Group - Pontiac · Pontiac, IL
Active · expires Aug 14, 2026
CLIA Number14D0875476
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorJames Mikeworth MD
Laboratory Phone(815) 844-2001
Laboratory LocationOsf Healthcare - Medical Group - Pontiac2500 W Reynolds St Ste 203, 205, 206, 207, Pontiac, IL 61764
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 20

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

EMILY RUFF
Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2828
SAINT JAMES HOSPITAL
Medicare Defined Swing Bed Unit
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 847-2828
WILLIAM LEE CHANG II
Physician Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-4062
BECKY DOTTERER
Occupational Therapy Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2828
MRS. ALLISON HOOPER OTR/L
Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2828
MRS. MELISSA RENEE PINA CDS
Developmental Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2828
TAYLOR MORGAN MILES MD
Family Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2828
BETHANY N. TOTH CRNA
Nurse Anesthetist, Certified Registered
2500 W REYNOLDS ST, ADMINISTRATION
PONTIAC, IL 61764
Livingston County (815) 842-2828

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 Saint James Hospital's NPI number?

The NPI number for Saint James Hospital is 1447976113. It was assigned to this organization in the NPPES registry on October 14, 2022. The provider is doing business as Osf Healthcare - Medical Group - Pontiac.

Where is Saint James Hospital located?

Saint James Hospital is located at 2500 W Reynolds St Suite 203, 205, 207, Pontiac, IL 61764. The listed phone number is (815) 844-2001.

What is Saint James Hospital's specialty?

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

Does Saint James Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0875476) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint James Hospital was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.