NPIMap

Organization Active NPI

St. Margaret's Health-Peru

Doing business as Ivch Medical Group / Peru Medical Clinic

  • Rural Health Clinic/Center
  • Peru, IL
National Provider Identifier
1659744167
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. MARGARET'S HEALTH-PERU
Doing business as
Ivch Medical Group / Peru Medical Clinic
SMH-Peru/Peru Medical Clinic
Practice address
920 West St Ste 117
Peru, IL 61354-2765
Phone
(815) 223-3500
Fax
(815) 223-1790
NPI assigned
Nov 5, 2015
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
Dorinda C Bonnell
Title
Director of Physician Practices
Phone
(815) 780-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

920 West St Ste 117
Peru, IL 61354-2765

Mailing address

1305 6TH St
Peru, IL 61354-2759
Phone (815) 780-4619

Other names 2

  • IVCH MEDICAL GROUP / PERU MEDICAL CLINIC Doing business as
  • SMH-Peru/Peru Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
St Margarets Health-Peru

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1659744167",
    "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": "815-780-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST STE 117",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542765",
            "telephone_number": "815-223-3500",
            "fax_number": "815-223-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2015-11-05",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BONNELL",
        "authorized_official_first_name": "DORINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "815-780-3222"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH MEDICAL GROUP / PERU MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVCH MEDICAL GROUP / PERU MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Peru Medical Clinic",
            "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.