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General NPI Number Information
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NPI Number | 1891399432
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Entity Type | Organization
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Legal Business Name | SAINT JAMES HOSPITAL
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 111 SPRING ST FL 4
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City | STREATOR
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State | IL
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Zip | 61364-3332
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Country | US
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Telephone | 815-672-4587
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Fax |
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Provider Business Mailing Address
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Address Line | 124 SW ADAMS ST
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City | PEORIA
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State | IL
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Zip | 61602-1320
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Country | US
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Telephone | 309-655-2850
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT C SEHRING
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Credential |
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Telephone | 309-655-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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