JULIA RACKLEY PERRY MEMORIAL HOSPITAL


Address: 105 N Main St Ste 1, Walnut, IL 61376-9707
Phone: 8153792020

JULIA RACKLEY PERRY MEMORIAL HOSPITAL (NPI# 1033649967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033649967
Entity Type Organization
Organization Name JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Other Organization Name PERRY MEMORIAL WALNUT CLINIC
Practice Address 105 N Main St Ste 1
Walnut
IL 61376-9707
Mailing Address 530 Park Ave E
Princeton
IL 61356-3901
Practice Telephone 8153792020
Practice Fax Number 8153792018
Mailing Telephone 8158764419
Mailing Fax Number 8158764455
Enumeration Date 2017-06-13
Last Update Date 2020-06-15
Authorized Official Name JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
Authorized Official Telephone 8158762293
Is Organization Subpart Y
Parent Organization Name JULIA RACKLEY PERRY MEMORIAL HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
0001883 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Perry Memorial Walnut Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932610110 Julia Rackley Perry Memorial Hospital Clinic/Center 530 Park Ave E Fl 3, Princeton, IL 61356-3901 2017-10-16
1578083051 Julia Rackley Perry Memorial Hospital Surgery 530 Park Ave E Ste 205, Princeton, IL 61356-3902 2017-06-26
1629598602 Julia Rackley Perry Memorial Hospital Clinic/Center 327 Edward St, Henry, IL 61537-1539 2017-06-21
1124021308 Julia Rackley Perry Memorial Hospital General Acute Care Hospital 530 Park Ave E, Princeton, IL 61356-3901 2005-05-23
1134695422 Julia Rackley Perry Memorial Hospital Clinic/Center 327 Edward St, Henry, IL 61537-1539 2018-10-15
1043786338 Julia Rackley Perry Memorial Hospital Clinic/Center 105 N Main St Ste 1, Walnut, IL 61376-9707 2018-10-15
1952877243 Julia Rackley Perry Memorial Hospital Clinic/Center 530 Park Ave E Ste 303, Princeton, IL 61356-3903 2018-10-15
1699229823 Julia Rackley Perry Memorial Hospital Clinic/Center 2128 N Main St, Princeton, IL 61356-9728 2016-08-04
1326408204 Julia Rackley Perry Memorial Hospital Clinic/Center 2128 N Main St, Princeton, IL 61356-9728 2016-03-04
1578922050 Julia Rackley Perry Memorial Hospital Clinic/Center 535 Park Ave E, Princeton, IL 61356-3901 2016-02-12

Office Location

Street Address 105 N MAIN ST STE 1
City WALNUT
State IL
Zip Code 61376-9707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043786338 Julia Rackley Perry Memorial Hospital Clinic/Center 105 N Main St Ste 1, Walnut, IL 61376-9707 2018-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588707095 Dean A. Hulsing PC Chiropractor 405 W. North Street, Walnut, IL 61376 2007-02-14
1083764880 Walnut Fire Department Inc Ambulance 115 Liberty Street, Walnut, IL 61376 2007-01-12
1730108002 Dean A Hulsing Chiropractor 405 W North Street, Walnut, IL 61376 2006-07-18
1407806953 Linda L Grant Nurse Practitioner 131 East Jackson Street, Walnut, IL 61376 2006-05-12
1467640292 Carolyn Jean Gale Physician Assistant 101 N Main St, Walnut, IL 61376 2007-10-05
1467687525 Walnut Fire Protection District Ambulance 122 E Jackson Street, Walnut, IL 61376-0523 2009-05-19
1508069717 Daniel B Fuertges Dentist 101 N Main St, Walnut, IL 61376-0624 2007-06-06
1861483307 Heritage Manor - Walnut, LLC Skilled Nursing Facility 308 S 2nd St, Walnut, IL 61376-9363 2005-11-03
1275005654 Aspen Quadri Occupational Therapy Assistant 308 S 2nd St, Walnut, IL 61376-9364 2018-12-21
1700351814 Katie C Edwards Occupational Therapy Assistant 308 S 2nd St, Walnut, IL 61376-9364 2018-10-05
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1841686888 High Touch Health Solutions, LLC Clinic/Center 304 S Lemon Ave, 4728, Walnut, CA 91789-2703 2015-04-07
1679874309 Seungkook Chang Md Inc Clinic/Center 19687 Valley Blvd, Walnut, CA 91789-2146 2010-11-11
1861673139 Treesap Clinic, Inc. Clinic/Center 28301 Highway 15, Walnut, MS 38683-9753 2007-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033724901 Ar Healthcare Clinic/Center 11 E Main St Ste A, St Charles, IL 60174-1925 2020-09-08
1568073674 Downers Grove Immediate Care Inc. Clinic/Center 425 Ogden Ave, Downers Grove, IL 60515-3066 2020-08-12
1538792221 Greenbax Health Solutions, LLC Clinic/Center 4922 W Chicago Ave, Chicago, IL 60651-3142 2020-02-20
1548808728 Unitypoint Health At Work Clinic/Center 1100 13th Ave, East Moline, IL 61244-1455 2019-12-18
1265076749 Inhome Primecare LLC Clinic/Center 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 2019-10-29
1033760780 Careatc Clinic/Center 600 S Michigan Ave # 402, Chicago, IL 60605-1900 2019-09-24
1356814503 Thompson Medical Incorporated Clinic/Center 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 2019-01-09
1598248106 Granite City Clinic Corp Clinic/Center 602 Farrish St, Madison, IL 62060-1567 2018-09-10
1497251037 Thomas L Pitts, Md LLC Clinic/Center 233 E Erie St Ste 702, Chicago, IL 60611-5933 2018-04-03
1013438704 Emily Byars Clinic/Center 1111 Greenfield Circle, Geneva, IL 60134 2017-07-03
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Competitor

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City WALNUT
Zip Code 61376

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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