Active NPI
Dukes Health System LLC
Doing business as Dukes Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Peru, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 06-005062-1
- Legal business name
- DUKES HEALTH SYSTEM LLC
- Doing business as
- Dukes Memorial Hospital
- Practice address
- 275 W 12TH St
Peru, IN 46970-1638 - Phone
- (765) 472-8000
- Fax
- (765) 473-8244
- NPI assigned
- Jun 15, 2006
- Last updated
- Mar 31, 2021
- Organization subpart
- Yes
- Parent organization
- DUKES HEALTH SYSTEM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 06-005062-1 | IN | Primary |
Addresses
Primary practice location
275 W 12TH St
Peru, IN 46970-1638
Mailing address
16710 Collection Center Dr
Chicago, IL 60693-0167
Phone (765) 472-8000
Other names 1
- Dukes Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524001584 | IN | Part A Provider - Critical Access Hospital | 9234190083 | Practice locations: Peru, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992749691. Details of each certification follow.
Hospital certification: CCN 15Z318
- Legal name
- DUKES HEALTH SYSTEM LLC
- Doing business as
- DUKES MEMORIAL HOSPITAL
- Organization structure
- LLC
- Enrollment address
- 275 W 12TH St
Peru, IN 46970-1638
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
Unit of hospital
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
9234190083
National Provider Directory
National Provider Directory- Part of
- Dukes Memorial Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
Member Of
Locations
16710 Collection Ctr Dr
Chicago, IL 60693
1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nathaniel K Summar | Corporate Director | Jul 15, 2017 | |
| Justin D Pitt | Corporate Officer | Jan 6, 2026 | |
| Corporate Director | Jan 6, 2026 | ||
| William Bradley Cash | Corporate Officer | Jun 1, 2018 | |
| Corporate Director | Jan 6, 2026 | ||
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Phillip a Posey | Corporate Officer | Jan 6, 2026 | |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Corporate Director | Jan 6, 2026 | ||
| David Drew Brooks | W-2 Managing Employee | May 14, 2026 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Triad Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Tennyson Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2007 | 100% |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| QHG of Clinton County Inc | 5% Or Greater Direct Ownership Interest | Jul 25, 2007 | 100% |
| Christopher G Cobb | Corporate Officer | Apr 1, 2017 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bluffton Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Bluffton, IN
- NPI 1356839591
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Bluffton Regional Medical Center
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, QHG of Clinton County Inc, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Dupont Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Knox Family Medical Center
- Rural Health Clinic/Center
- Knox, IN
- NPI 1770936965
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-Porter
- Rehabilitation Hospital Unit
- Portage, IN
- NPI 1154571180
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Lutheran Downtown Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1992749691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16710 COLLECTION CENTER DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606930167",
"telephone_number": "765-472-8000",
"fax_number": "765-473-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W 12TH ST",
"city": "PERU",
"state": "IN",
"postal_code": "469701638",
"telephone_number": "765-472-8000",
"fax_number": "765-473-8244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKES HEALTH SYSTEM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUKES HEALTH SYSTEM LLC",
"enumeration_date": "2006-06-15",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "IN",
"license": "06-005062-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dukes Memorial Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dukes Memorial Hospital",
"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 Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.