Perry Memorial Hospital

LBN: Julia Rackley Perry Memorial Hospital
Perry Memorial Hospital is an health care organization with primary practice located at 530 Park Ave E , Princeton IL 61356-3901. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Julia Rackley Perry Memorial Hospital can be contacted via phone (815) 875-2811, or through Welte, Jean via phone (815) 876-2293.

Contact Information

Primary practice address
530 Park Ave E Princeton IL 61356-3901
Phone: (815) 875-2811
Fax: (815) 876-4455
Website:
Map and Directions
Authorized official contact:
Name: Welte, Jean
Phone: (815) 876-2293

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 0001883 Illinois

Profile Details

NPI number 1124021308
LBN Legal business name Julia Rackley Perry Memorial Hospital
DBA Doing business as Perry Memorial Hospital
Authorized official Welte, Jean
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Mar 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124021308 NPPES
Illinois Other 122 BLUE CROSS
Illinois MEDICAID 336006057401 BLUE CROSS
Illinois MEDICAID 336006057001 BLUE CROSS
Illinois Other 001193 BLUE CROSS
Illinois Other A61356001 BLUE CROSS

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