NPIMap

Organization Active NPI

St. Margaret's Health-Peru

  • General Acute Care Hospital
  • Peru, IL
National Provider Identifier
1902800535
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0003418 Issued in IL
Legal business name
ST. MARGARET'S HEALTH-PERU
Practice address
925 West St
Peru, IL 61354-2757
Phone
(815) 223-3300
NPI assigned
Jun 10, 2005
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

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
Lisa Kay Lynch
Title
Avp of Finance
Phone
(815) 780-3574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0003418 IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0358360001 IL

Addresses

Primary practice location

925 West St
Peru, IL 61354-2757

Mailing address

925 West St
Peru, IL 61354-2757
Phone (815) 223-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000661 IL Part A Provider - Hospital 1759274442 Practice locations: Peru, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902800535. Details of each certification follow.

Hospital certification: CCN 140234

Legal name
ST. MARGARET'S HEALTH-PERU
Certification status
Terminated Voluntary: merger or closure, Jul 6, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1976
Last certification
Apr 18, 2022
Beds
49
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1975 in IL
Enrollment address
925 West St
Peru, IL 61354-2757
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Swing-bed approved

National Provider Directory

National Provider Directory

Locations

220 E High St
Hennepin, IL 61327
Phone (815) 925-7032

220 E High St
Ste 101
Hennepin, IL 61327
Phone (815) 925-7032

790 W Walnut St
Oglesby, IL 61348
Phone (815) 221-1330

310 Walnut St
Peru, IL 61354
Phone (815) 780-3309

920 West St
Ste 311
Peru, IL 61354
Phone (815) 223-2944

920 West St
Ste 318
Peru, IL 61354
Phone (815) 223-3389

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sisters of Mary of the Presentation Health System Organization, Fargo, ND Non-profit Operational/Managerial Control Jan 1, 2021 100%
Mark a Fernandez Individual Corporate DirectorBoard Member Jan 1, 2021
Sisters of Mary of the Presentation Organization, Valley City, ND Corporation Operational/Managerial Control Jan 1, 2021 100%
Kim D Santman Individual Corporate OfficerAuthorized Official Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
St. Margaret's Health Organization, Spring Valley, IL Non-profit Operational/Managerial Control Jan 1, 2021 100%
Timothy Muntz Individual Corporate OfficerAuthorized Official Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
Lisa Lynch Individual W-2 Managing Employee Jan 1, 2021
Tommy W Hobbs Individual Corporate DirectorBoard Member Jan 1, 2021
Eric Santos Individual Corporate DirectorBoard Member Jan 1, 2021
IV Healthcorp. Inc. Organization, Peru, IL Corporation 5% Or Greater Direct Ownership Interest Dec 9, 1975 100%
Spring Valley City Bank Organization, Spring Valley, IL Financial institution 5% Or Greater Security Interest Jan 1, 2021 29.6%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1902800535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-223-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-223-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "AVP OF FINANCE",
        "authorized_official_telephone_number": "815-780-3574"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0003418",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0358360001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.