Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Other names
Perry Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ELLISON (CFO/VICE PRESIDENT)
(815) 876-4497
Entity
Organization
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-3068
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-3068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20300268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621311
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
07/05/2006
Last updated
04/02/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up