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OSF HEALTHCARE - MEDICAL GROUP - FAIRBURY
NPI 1912622374
Clinic/Center - Rural Health in Fairbury, IL

Active since October 07, 2022CLIA 14D0876082 · Waiver
106 S 1ST ST, FAIRBURY, IL 61739(815) 692-2308(815) 692-3278 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2024, Apr 9, 2024, Nov 1, 2022 and 2 more (5 updates tracked since 2022).

About Osf Healthcare - Medical Group - Fairbury NPPES

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

OSF HEALTHCARE - MEDICAL GROUP - FAIRBURY (NPI 1912622374) is a healthcare organization registered as a rural health in Fairbury, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Robert C Sehring, Ceo, Osf Healthcare System, as its authorized official.

NPPES Registry Identity

NPI1912622374
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSAINT JAMES HOSPITAL
Location Address106 S 1ST STFairbury, IL 61739-1509
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 655-2850 · Fax (815) 692-3278
Phone(815) 692-2308
Fax(815) 692-3278
Organization SubpartYesParent: Osf Healthcare System
Authorized OfficialRobert C SehringCeo, Osf Healthcare System · (309) 655-2850
Enumeration DateOctober 7, 2022
Last NPPES UpdateJuly 31, 20245 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1912622374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
106 S 1ST ST, Fairbury, IL 61739
Open in Google Maps ↗

Other Names 1

Doing Business AsOsf Healthcare - Medical Group - Fairbury

Other Identifiers 1

Medicaid025IL

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 14D0876082

Osf Healthcare - Medical Group - Fairbury · Fairbury, IL
Active · expires Jan 17, 2028
CLIA Number14D0876082
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorKathleen A. Leinen
Laboratory Phone(815) 692-2308
Laboratory LocationOsf Healthcare - Medical Group - Fairbury106 S 1st St, Fairbury, IL 61739
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

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

KATELYN J STITES APN, NP-C
Nurse Practitioner (Family)
106 S 1ST ST
FAIRBURY, IL 61739
Livingston County (815) 692-2308

Frequently Asked Questions

What is SAINT JAMES HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1912622374, enumerated as an "organization" on October 07, 2022.

Where is the provider located?

The provider is located at 106 S 1ST ST FAIRBURY, IL 61739 and the phone number is (815) 692-2308.

What is the provider's specialty?

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

What insurance does SAINT JAMES HOSPITAL accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.