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

NPI Status: Active since October 18, 2022

Contact Information

104 S BROAD ST
KNOXVILLE, IL
ZIP 61448
Phone: (309) 289-2335

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 14D0431290
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-10-2027

About OSF HEALTHCARE - MEDICAL GROUP - KNOXVILLE

This page provides the complete NPI Profile along with additional information for Osf Healthcare - Medical Group - Knoxville, a primary care provider established in Knoxville, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1801512165 assigned on October 2022. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Osf Healthcare - Medical Group - Knoxville. The authorized official of this NPI record is Robert C Sehring (Ceo, Osf Healthcare System)

NPI
1801512165
Provider Legal Name
ST MARY MEDICAL CENTER
Other Organization Name
OSF HEALTHCARE - MEDICAL GROUP - KNOXVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
104 S BROAD ST KNOXVILLE, IL 61448
Location Phone
(309) 289-2335
Mailing Address
124 SW ADAMS ST PEORIA, IL 61602
Mailing Phone
(309) 655-2850
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-18-2022
Last Update Date
03-18-2024
Code Navigator

A primary care provider (PCP) like Osf Healthcare - Medical Group - Knoxville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT C SEHRING

Authorized Official Title
CEO, OSF HEALTHCARE SYSTEM
Authorized Official Phone
(309) 655-2850

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0431290
Facility Type
Physician Office
Certificate Effective Date
September 11, 2025
Certificate Expiration Date
September 10, 2027
Laboratory Director
ANNEVAY CONLEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osf Healthcare - Medical Group - Knoxville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801512165, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 0 + 1 + 4 + 1 + 1 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1801512165.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
104 S BROAD ST
KNOXVILLE, IL 61448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801512165, enumerated as an "organization" on October 18, 2022.

The provider is located at 104 S BROAD ST KNOXVILLE, IL 61448 and the phone number is (309) 289-2335.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.