JULIA RACKLEY PERRY MEMORIAL HOSPITAL (NPI# 1932610110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932610110 |
| Entity Type | Organization |
| Organization Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Other Organization Name | PERRY PAIN MANAGEMENT SERVICES |
| Practice Address |
530 Park Ave E Fl 3 Princeton IL 61356-3901 |
| Mailing Address |
530 Park Ave E Princeton IL 61356-3901 |
| Practice Telephone | 8158756001 |
| Practice Fax Number | 8158753612 |
| Mailing Telephone | 8158764419 |
| Mailing Fax Number | 8158764455 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | STEPHEN M DAVIS (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 8158764419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Perry Pain Management Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| Street Address |
530 PARK AVE E FL 3 |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-3901 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
| 1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
| 1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
| 1134597636 | Great River Pain Clinic LLC | Clinic/Center | 555 N Kellogg St, Galesburg, IL 61401-3726 | 2015-09-14 |
| 1649651951 | Wellness Institute of Illinois, Ltd. | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2015-06-11 |
| 1558618512 | Precision Diagnostics | Clinic/Center | 18623 81st Ave, Tinley Park, IL 60487-6279 | 2012-08-09 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 1952565384 | Aaa Headache and Pain Clinic Ltd | Clinic/Center | 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 | 2008-07-15 |
| 1639332505 | Interventional Pain Medicine LLC | Clinic/Center | 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 | 2008-07-09 |
| 1558583732 | Piasa Pain Center LLC | Clinic/Center | #3 Professional Drive, Suite B, Acton, IL 62002 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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| 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.