Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Parent organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Other names
Perry Memorial Family Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Authorized official
JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
(815) 876-2293
Entity
Organization
Contact information
Practice address
535 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-4531
(815) 876-2118
Mailing address
535 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-4531
(815) 876-2118
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0001883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
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—
IL
Enumeration date
02/12/2016
Last updated
03/18/2020
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