NPIMap

Organization Active NPI

St Margaret's Health - Spring Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peru, IL
National Provider Identifier
1851058101
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ST MARGARET'S HEALTH - SPRING VALLEY
Practice address
920 West St Ste 116
Peru, IL 61354-2765
Phone
(815) 223-3300
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST MARGARET'S HEALTH - SPRING VALLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

920 West St Ste 116
Peru, IL 61354-2765

Mailing address

920 West St Ste 116
Peru, IL 61354-2765
Phone (815) 223-3300

Other names 1

  • St. Margaret's CHHW at Peru Other name

National Provider Directory

National Provider Directory
Tax ID family
St Margarets Hospital6 organizations share this tax ID, including this one
Part of
St Margarets Hospital

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1851058101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WEST ST STE 116",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542765",
            "telephone_number": "815-223-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST STE 116",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542765",
            "telephone_number": "815-223-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARET'S HEALTH - SPRING VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARGARET'S HEALTH - SPRING VALLEY",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Margaret's CHHW at Peru",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 22, 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.