St. Margaret's Health-Peru

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

Ivch Medical Group / Oglesby Medical Clinic
SMH-Peru/Oglesby Medical Clinic

Practice address

520 W Walnut St
Oglesby, IL 61348-1400

Phone

(815) 883-3588

Fax

(815) 883-3604

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

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

Addresses

Other names 2

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

Part of

St Margarets Health-Peru

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": "1760855274",
    "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": "815-780-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W WALNUT ST",
            "city": "OGLESBY",
            "state": "IL",
            "postal_code": "613481400",
            "telephone_number": "815-883-3588",
            "fax_number": "815-883-3604"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH MEDICAL GROUP / OGLESBY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Oglesby Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan L Rick, LCPC
• Jennifer Lynn Sowers, CERTIFIED OPTICIAN
• St. Margaret's Health-Peru (IVCH CampusCare)
• St. Margaret's Health-Peru (IVCH Medical Group / Oglesby Medical Clinic)
• St. Margaret's Health-Peru (Ivch Medical Group / Oglesby Medical Clinic)
• Manuel Antonio Valerin, DDS

• Rural Health Clinic/Center in Oglesby, IL
• Providers in Oglesby, 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 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.