NPIMap

Organization Active NPI

Parkview Logansport Hospital, Inc.

Doing business as Parkview Logansport Hospital Peru Medical Center

  • Rural Health Clinic/Center
  • Peru, IN
National Provider Identifier
1770248015
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PARKVIEW LOGANSPORT HOSPITAL, INC.
Doing business as
Parkview Logansport Hospital Peru Medical Center
Peru Medical Center
Practice address
751 W 2ND St Ste 100
Peru, IN 46970-1385
Phone
(765) 919-4378
Fax
(765) 919-4672
NPI assigned
Nov 2, 2021
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Stanton Risser
Title
Acfo
Phone
(260) 266-9380

Specialties & licenses 1

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

Addresses

Primary practice location

751 W 2ND St Ste 100
Peru, IN 46970-1385

Mailing address

1101 Michigan Ave
Logansport, IN 46947-1596
Phone (574) 753-1778

Other identifiers 1

IdentifierTypeStateIssuer
300117491MedicaidIN

Other names 2

  • Parkview Logansport Hospital Peru Medical Center Doing business as
  • Peru Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260126001326 IN Part B Supplier - Clinic/Group Practice 8921500646 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Logansport, IN; Peru, IN

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2072105Parkview Logansport Hospital Peru Medical Center751 W 2ND St, Peru, IN 46970Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Parkview Logansport Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 W Main St
Camden, IN 46917
Phone (574) 686-2022

1025 Michigan Ave
Ste 15
Logansport, IN 46947
Phone (574) 753-9000

1025 Michigan Ave
Ste LL15
Logansport, IN 46947
Phone (574) 753-1739

1101 Michigan Ave
Ste 10
Logansport, IN 46947
Phone (574) 753-5611

1201 Michigan Ave
Ste 170
Logansport, IN 46947
Phone (574) 722-4331

1201 Michigan Ave
Ste 215
Logansport, IN 46947
Phone (574) 753-2222

1201 Michigan Ave
Ste 340
Logansport, IN 46947
Phone (219) 753-4500

1201 Michigan Ave
Ste LL30
Logansport, IN 46947
Phone (574) 725-3591

800 Fulton St
Ste B2
Logansport, IN 46947
Phone (574) 753-2222

820 Fulton St
Logansport, IN 46947
Phone (219) 722-3636

275 W 12th St
#103
Peru, IN 46970
Phone (765) 475-2384

751 W 2nd St
Ste 200
Peru, IN 46970
Phone (765) 919-4378

2671 Ft Wayne Rd
Rochester, IN 46975
Phone (574) 223-3627

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1770248015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471596",
            "telephone_number": "574-753-1778",
            "fax_number": "574-753-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W 2ND ST STE 100",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701385",
            "telephone_number": "765-919-4378",
            "fax_number": "765-919-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW LOGANSPORT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "260-266-9380"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300117491",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Logansport Hospital Peru Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peru Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peru Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.