Organization Active NPI

Dukes Health System LLC

Doing business as Dukes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Peru, IN
National Provider Identifier
1992749691
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
06-005062-1 Issued in IN
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DUKES HEALTH SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
275 W 12TH St
Peru, IN 46970-1638
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

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.

NameRoleSinceShare
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assist Sec/Board Member Jan 6, 2026
Corporate DirectorPresident/Assist Sec/Board Member Jan 6, 2026
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Corporate DirectorExec VP Jan 6, 2026
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Phillip a Posey Individual Corporate OfficerSenior Vice President Jan 6, 2026
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Jason Kevin Johnson Individual Corporate OfficerExecutive VP Jan 6, 2020
Corporate DirectorExecutive VP Jan 6, 2026
David Drew Brooks Individual W-2 Managing EmployeeCao May 14, 2026
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Paula M Lalor Individual Corporate DirectorDirector/Delegated Official Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
QHG of Clinton County Inc Organization, Franklin, TN Corporation 5% Or Greater Direct Ownership Interest Jul 25, 2007 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation, Chain home office 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.

View all 120

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.

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

Verify at the official NPI Registry.