Julia Rackley Perry Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Walnut, IL
NPI 1043786338 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1043786338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- JULIA RACKLEY PERRY MEMORIAL HOSPITAL
- Practice address
- 105 N Main St Ste 1
Walnut, IL 61376-9707 - Phone
- (815) 379-2020
- Fax
- (815) 379-2018
- NPI assigned
- Oct 15, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Authorized official
- Name
- Jean Welte
- Title
- Medical Staff Services Coordinator
- Phone
- (815) 876-2293
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Perry Mem Hosp Cardiolo
- Part of
- Perry Mem Hosp Cardiolo
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
105 N Main St Ste 1
Walnut, IL 61376-9707
Mailing address
530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 876-4419
Other names
- Perry Memorial Walnut Clinic
Other providers in Walnut, IL
- Heritage Manor - Walnut, LLC
- Heritage Manor - Walnut, LLC
- Dean A Hulsing
- Colton Ronald Johnson
- Julia Rackley Perry Memorial Hospital
- Aspen Quadri
- Kelly Cotaleen Todd
- Heidi Allison Wilken Wallace
- Walnut Fire Department Inc
- Walnut Fire Protection District
All providers in Walnut, IL · Rural Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.