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OSF HEALTHCARE - MEDICAL GROUP - KNOXVILLE
NPI 1801512165
Clinic/Center - Rural Health in Knoxville, IL

Active since October 18, 2022CLIA Certified · 2 labs
104 S BROAD ST, KNOXVILLE, IL 61448(309) 289-2335 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 (2 updates tracked since 2022).

About Osf Healthcare - Medical Group - Knoxville NPPES

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

OSF HEALTHCARE - MEDICAL GROUP - KNOXVILLE (NPI 1801512165) is a healthcare organization registered as a rural health in Knoxville, Illinois and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates and lists Robert C Sehring, Ceo, Osf Healthcare System, as its authorized official.

NPPES Registry Identity

NPI1801512165
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST MARY MEDICAL CENTER
Location Address104 S BROAD STKnoxville, IL 61448-1339
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 655-2850 · Fax (309) 655-4878
Phone(309) 289-2335
Organization SubpartYesParent: Osf Healthcare System
Authorized OfficialRobert C SehringCeo, Osf Healthcare System · (309) 655-2850
Enumeration DateOctober 18, 2022
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1801512165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
104 S BROAD ST, Knoxville, IL 61448
Open in Google Maps ↗

Other Names 1

Doing Business AsOsf Healthcare - Medical Group - Knoxville

CLIA Laboratory Certificates CMS CLIA 2

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 14D0431359

Osf Healthcare - Medical Group- Knoxville · Knoxville, IL
Active · expires Jan 17, 2028
CLIA Number14D0431359
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorClyde Grady
Laboratory Phone(309) 289-2335
Laboratory LocationOsf Healthcare - Medical Group- Knoxville904 E Main St, Knoxville, IL 61448
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0431290

Osf Healthcare - Medical Group- Abingdon · Abingdon, IL
Active · expires Sep 10, 2027
CLIA Number14D0431290
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorAnnevay Conlee
Laboratory Phone(309) 289-2335
Laboratory LocationOsf Healthcare - Medical Group- Abingdon100 N Monroe, Abingdon, IL 61410
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CLYDE GRADY
Family Medicine
104 S BROAD ST
KNOXVILLE, IL 61448
Knox County (309) 289-2335

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 Mary Medical Center's NPI number?

The NPI number for St Mary Medical Center is 1801512165. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Osf Healthcare - Medical Group - Knoxville.

Where is St Mary Medical Center located?

St Mary Medical Center is located at 104 S Broad St, Knoxville, IL 61448. The listed phone number is (309) 289-2335.

What is St Mary Medical Center's specialty?

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

Does St Mary Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Mary Medical Center was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.