NPIMap

Organization Active NPI

Pekin Hospital

  • General Acute Care Hospital
  • Pekin, IL
National Provider Identifier
1437274602
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PEKIN HOSPITAL
Practice address
600 So 13TH Street
Pekin, IL 61554
Phone
(309) 353-0406
Fax
(309) 347-1240
NPI assigned
Mar 20, 2007
Organization subpart
Yes
Parent organization
PEKIN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Gary Jepson
Title
Ceo
Phone
(309) 353-0756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X IL Primary

Addresses

Primary practice location

600 So 13TH Street
Pekin, IL 61554

Mailing address

600 So 13TH Street
Pekin, IL 61554
Phone (309) 353-0406

National Provider Directory

National Provider Directory
Tax ID family
Pekin Mem Hosp Cardiolo4 organizations share this tax ID, including this one
Part of
Pekin Mem Hosp Cardiolo

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437274602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SO 13TH STREET",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-353-0406",
            "fax_number": "309-347-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SO 13TH STREET",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-353-0406",
            "fax_number": "309-347-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKIN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEKIN MEMORIAL HOSPITAL",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEPSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-353-0756",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.