St Margaret's Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ST MARGARET'S HOSPITAL

Doing business as

SMH Center for Fam Health
St. Margaret's Health

Practice address

1916 N Main St
Princeton, IL 61356-9786

Phone

(815) 915-8748

Fax

(815) 664-0508

NPI assigned

Apr 17, 2019

Organization subpart

Yes

Parent organization

ST MARGARET'S HOSPITALAs 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 CENTER FOR FAM HEALTH Doing business as
• St. Margaret's Health Doing business as

Part of

St Margarets Hospital

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1760045579",
    "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": "1916 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613569786",
            "telephone_number": "815-915-8748",
            "fax_number": "815-664-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARET'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARGARET'S HOSPITAL",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-10-23",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMH CENTER FOR FAM HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Margaret's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph D. Siegel, LCSW
• Agnes M Smith, ST
• Ethan Smith, LPC
• Jenna Sobin
• Madison Solomon, PT, DPT
• St. Margaret's Health - Spring Valley
• Jennifer K Stickel, P.T.
• Barbara J Swalve Everett, D.C.
• Ariel E Swanson, LCSW
• Jonathan T Sydlowski, PT, DPT

• Rural Health Clinic/Center in Princeton, IL
• Providers in Princeton, 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 Oct 23, 2019; 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.