Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Other names
Perry Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
(815) 876-2293
Entity
Organization
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
(815) 876-4455
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
(815) 876-4455
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0001883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001193
HEALTH ALLIANCE
IL
01
—
122
BLUE CROSS
IL
05
—
336006057001
—
IL
05
—
336006057401
—
IL
01
—
A61356001
JOHN DEERE
IL
Enumeration date
05/23/2005
Last updated
03/17/2020
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