# JULIA RACKLEY PERRY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JULIA RACKLEY PERRY MEMORIAL HOSPITAL
- **Other names:** Perry Memorial Family Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578922050
- **Legal business name:** JULIA RACKLEY PERRY MEMORIAL HOSPITAL
- **Authorized official:** JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
- **Authorized official phone:** (815) 876-2293

## Contact information

- **Practice address:** 535 PARK AVE E, PRINCETON, IL 61356-3901
- **Practice address phone:** (815) 875-4531
- **Practice address fax:** (815) 876-2118
- **Mailing address:** 535 PARK AVE E, PRINCETON, IL 61356-3901
- **Mailing address phone:** (815) 875-4531
- **Mailing address fax:** (815) 876-2118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0001883 | IL | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 03/18/2020