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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