St Margaret's Health-Spring Valley

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ST MARGARET'S HEALTH-SPRING VALLEY

Doing business as

SMH Midtown Health Ctr

Practice address

1650 Midtown Rd
Peru, IL 61354-1200

Phone

(815) 223-6843

NPI assigned

Apr 17, 2019

Last updated

Mar 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. MARGARET'S HEALTH-SPRING VALLEYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeannette Marie Kneebone, DELEGATED OFFICIAL

Title

Patient Accounts Director

Phone

(815) 664-1477

Specialties & licenses 2

Addresses

Other names 2

• SMH MIDTOWN HEALTH CTR Doing business as
• Midtown Health Center Other name

Part of

St Margaret's Health - Spri

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1356904163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621907",
            "telephone_number": "815-664-1477",
            "fax_number": "815-664-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MIDTOWN RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541200",
            "telephone_number": "815-223-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARET'S HEALTH-SPRING VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-SPRING VALLEY",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "KNEEBONE",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS DIRECTOR",
        "authorized_official_telephone_number": "815-664-1477",
        "authorized_official_credential": "DELEGATED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMH MIDTOWN HEALTH CTR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dawn Sorensen, RPH
• Veronica Spangler, FNP-C
• Patrick Springer, DNP, CRNA
• SSJ Care LLC Dba at Home Care Now (At Home Care)
• St Margaret's Health - Spring Valley
• St. Margaret's Health-Peru (Ivch Medical Group / Adult Medicine Clinic)
• St. Margaret's Health-Peru (IVCH Care Today)
• St. Margaret's Health-Peru
• St. Margaret's Health-Peru (IVCH Wound & Hyperbaric Center)
• St. Margaret's Health-Peru (Ivch Medical Group / Peru Medical Clinic)

• Rural Health Clinic/Center in Peru, IL
• Providers in Peru, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.