Julia Rackley Perry Memorial Hospital

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0001883 Issued in IL

Legal business name

JULIA RACKLEY PERRY MEMORIAL HOSPITAL

Doing business as

Perry Memorial Henry Clinic

Practice address

327 Edward St
Henry, IL 61537-1539

Phone

(815) 875-4531

Fax

(815) 876-2022

NPI assigned

Jun 21, 2017

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

JULIA RACKLEY PERRY MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Jean Welte

Title

Medical Staff Services Coord

Phone

(815) 876-2293

Specialties & licenses 1

Addresses

Other names 1

• Perry Memorial Henry Clinic Doing business as

Part of

Julia Rackley Perry Memorial Hospital

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1629598602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-875-4531",
            "fax_number": "815-876-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EDWARD ST",
            "city": "HENRY",
            "state": "IL",
            "postal_code": "615371539",
            "telephone_number": "815-875-4531",
            "fax_number": "815-876-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA RACKLEY PERRY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JULIA RACKLEY PERRY MEMORIAL HOSPITAL",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "WELTE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MEDICAL STAFF SERVICES COORD",
        "authorized_official_telephone_number": "815-876-2293"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "0001883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Memorial Henry Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perry Memorial Henry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Community Ambulance Service
• Henry Rehab and Nursing LLC
• Henry Senachwine Cusd 5
• Highland Park CVS, L.L.C. (CVS Pharmacy #10656)
• Julia Rackley Perry Memorial Hospital (Perry Memorial Henry Clinic)
• Richard Paul June, D.D.S.
• Katherine Marie Lowery, PT
• Luckey Chiropractic Center Inc.
• Brian J Luckey, D.C.
• Maitri Path to Wellness, PLLC

• Primary Care Clinic/Center in Henry, IL
• Providers in Henry, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.