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St. Margaret'S Health-Peru

Organization Active NPI General Acute Care Hospital · Peru, IL

NPI 1902800535 · NPPES record last updated Jan 27, 2021

Key facts

NPI
1902800535
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
0003418 (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
Organization subpart
No

Authorized official

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

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
Corporation · Non-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

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 Director
Board 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 Officer
Authorized Official		 Jan 1, 2021
Corporate Director
Board 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 Officer
Authorized Official		 Jan 1, 2021
Corporate Director
Board Member		 Jan 1, 2021
Lisa Lynch
Individual 		W-2 Managing Employee Jan 1, 2021
Tommy W Hobbs
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Eric Santos
Individual 		Corporate Director
Board 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%

Medicare enrollment records

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

National Provider Directory

Locations

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

815 N Orlando Smith St
Oglesby, IL 61348
Phone (815) 224-0896

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

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

1403 6th St
Peru, IL 61354
Phone (815) 221-1360

530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0003418 IL Yes
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

Other providers in Peru, IL

All providers in Peru, IL · General Acute Care Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.