JULIA RACKLEY PERRY MEMORIAL HOSPITAL (NPI# 1326408204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326408204 |
| Entity Type | Organization |
| Organization Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Other Organization Name | PERRY MEMORIAL PROMPT CARE |
| Practice Address |
2128 N Main St Princeton IL 61356-9728 |
| Mailing Address |
530 Park Ave E Princeton IL 61356-3901 |
| Practice Telephone | 8158752273 |
| Practice Fax Number | 8152078682 |
| Mailing Telephone | 8158764419 |
| Mailing Fax Number | 8158764455 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR) |
| Authorized Official Telephone | 8158762293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
0001883 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Perry Memorial Prompt Care | Doing Business As Name - Organization |
| 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 |
| 1033649967 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2017-06-13 |
| 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 |
| 1578922050 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 535 Park Ave E, Princeton, IL 61356-3901 | 2016-02-12 |
| Street Address |
2128 N MAIN ST |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-9728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922114677 | Paul H Bonucci | Emergency Medicine | 2128 N Main St, Princeton, IL 61356-9728 | 2006-08-22 |
| 1366077695 | Rebekka Root | Nurse Practitioner | 2128 N Main St, Princeton, IL 61356-9728 | 2020-03-06 |
| 1770002677 | Cory J Kramer | Nurse Practitioner | 2128 N Main St, Princeton, IL 61356 | 2017-09-12 |
| 1699229823 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 2128 N Main St, Princeton, IL 61356-9728 | 2016-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1063964971 | Rosa Lee Langley | Clinic/Center | 1023 W Main St, Princeton, KY 42445-1253 | 2016-10-26 |
| 1285975383 | Med Express Princeton | Clinic/Center | 277 Greasy Ridge Road, Princeton, WV 24740 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514090 | Elitecare Express LLC | Clinic/Center | 6740 Dempster St, Morton Grove, IL 60053-2609 | 2020-10-03 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
| 1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
| 1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
| 1215407812 | Illinois Urgent Care Professionals Pllc | Clinic/Center | 17960 Halsted St, Homewood, IL 60430-2014 | 2018-11-27 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JULIA RACKLEY PERRY MEMORIAL HOSPITAL.
| 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.