Organization Active NPI

St. Margaret's Health-Peru

Doing business as IVCH FastCare

  • Family Nurse Practitioner
  • Peru, IL
National Provider Identifier
1457668170
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209001933
Legal business name
ST. MARGARET'S HEALTH-PERU
Doing business as
IVCH FastCare
SMH-Peru/Fastcare
Practice address
5307 Route 251
Peru, IL 61354
Phone
(815) 220-3278
NPI assigned
Sep 1, 2010
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. MARGARET'S HEALTH-PERUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Lisa Kay Lynch
Title
Avp of Finance
Phone
(815) 780-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209001933 Primary

Addresses

Primary practice location

5307 Route 251
Peru, IL 61354

Mailing address

1305 6TH St
Peru, IL 61354-2759
Phone (815) 220-3278

Other names 2

  • IVCH FastCare Doing business as
  • SMH-Peru/Fastcare Doing business as

National Provider Directory

National Provider Directory
Part of
Illinois Valley Community

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1457668170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 6TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542759",
            "telephone_number": "815-220-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 ROUTE 251",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61354",
            "telephone_number": "815-220-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2010-09-01",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "AVP OF FINANCE",
        "authorized_official_telephone_number": "815-780-3574"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": "209001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH FastCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Fastcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.