St. Margaret's Health-Peru

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

212650 Issued in IL

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

IVCH Immunization Clinic
SMH-Peru Immunization Clinic

Practice address

925 West Street
Illinois Valley Community Hospital
Peru, IL 61354-2799

Phone

(815) 223-3300

Fax

(815) 780-3781

NPI assigned

Oct 25, 2006

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

Lisa Kay Lynch

Title

Avp of Finance

Phone

(815) 780-3574

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• IVCH Immunization Clinic Doing business as
• SMH-Peru Immunization Clinic Doing business as

Part of

Illinois Valley Community

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1982789582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WEST STREET",
            "address_2": "ILLINOIS VALLEY COMMUNITY HOSPITAL",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542799",
            "telephone_number": "815-223-3300",
            "fax_number": "815-780-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WEST STREET",
            "address_2": "ILLINOIS VALLEY COMMUNITY HOSPITAL",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542799",
            "telephone_number": "815-223-3300",
            "fax_number": "815-780-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2006-10-25",
        "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": "212650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY PROVIDER NUMBER",
            "identifier": "212650",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH Immunization Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVCH Immunization Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru Immunization Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Margaret's Health-Peru
• St. Margaret's Health-Peru
• St. Margaret's Health-Peru (Ivch Medical Group / Peru Primary Care Clinic)
• St. Margaret's Health-Peru (Ivch Medical Group / Adult Medicine Clinic)
• St. Margaret's Health-Peru (Ilinois Valley Community Hospital Pain Clinic)
• Scott Richard Stanke, DDS
• Donna J. Sweetland, M.D.
• Lori A Teverbaugh, M.D.
• The Visions Group, Inc. (Sterling Optical)
• Kendra Lenee Theodosopoulos, AU.D.

• General Acute Care Hospital in Peru, IL
• Providers in Peru, IL by specialty
• General Acute Care Hospital 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.