PERRY MEMORIAL HOSPITAL
NPI 1619934833
Emergency Medicine in Princeton, IL
NPI Status: Active since May 01, 2006
Contact Information
530 PARK AVE E
PRINCETON, IL
ZIP 61356
Phone: (815) 875-2811
Fax: (815) 876-4455
- Organization
- Emergency Medicine
- Accepts Insurance
About PERRY MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Perry Memorial Hospital, a provider established in Princeton, Illinois operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1619934833 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Perry Memorial Hospital operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Perry Memorial Hospital. The authorized official of this NPI record is Jean Welte (Medical Staff Services Coordinator)
- NPI
- 1619934833
- Provider Legal Name
- JULIA RACKLEY PERRY MEMORIAL HOSPITAL
- Other Organization Name
- PERRY MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 530 PARK AVE E PRINCETON, IL 61356
- Location Phone
- (815) 875-2811
- Location Fax
- (815) 876-4455
- Mailing Address
- 530 PARK AVE E PRINCETON, IL 61356
- Mailing Phone
- (815) 875-2811
- Mailing Fax
- (815) 876-4455
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2006
- Last Update Date
- 06-15-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 9 | 3 | 4 | 8 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 18 | 3 | 8 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 8 + 3 + 8 + 8 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1619934833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528056181 | DR. GEETHA DODDA MD Individual | Internal Medicine (Gastroenterology) | 530 PARK AVE E SUITE 7 PRINCETON, IL 61356 (815) 875-8666 |
| 1053368209 | ALAN DUMONTIER MD Individual | Emergency Medicine | 530 PARK AVE E PRINCETON, IL 61356 (904) 805-1300 |
| 1295776565 | ARNOLD FABER MD Individual | Family Medicine | 530 PARK AVE E PRINCETON, IL 61356 (815) 875-4531 |
| 1891726253 | JULIA RACKLEY PERRY MEMORIAL HOSPITAL Organization | Durable Medical Equipment & Medical Supplies | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-3068 |
| 1447273883 | DR. ELIE CHUKRI DANIEL D. P. M. Individual | Podiatrist (Foot & Ankle Surgery) | 530 PARK AVE E SUITE 204 PRINCETON, IL 61356 (815) 875-2643 |
| 1750487666 | MARTIN FABER MD Individual | Family Medicine | 530 PARK AVE E PRINCETON, IL 61356 (815) 875-4531 |
| 1144415498 | LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD Organization | Clinic/Center | 530 PARK AVE E SUITE 205 PRINCETON, IL 61356 (815) 872-9491 |
| 1669654026 | GARY W HOELLE Organization | Podiatrist (Primary Podiatric Medicine) | 530 PARK AVE E SUITE 301 PRINCETON, IL 61356 (815) 872-3034 |
| 1477724102 | MARK W. WILLIAMS, M.D., PH.D., GENERAL SURGERY, S.C. Organization | Surgery | 530 PARK AVE E SUITE 205 PRINCETON, IL 61356 (815) 872-9491 |
| 1639331952 | MRS. KIMBERLY ANNE SHULER R.D. Individual | Dietitian, Registered | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-4448 |
| 1700113958 | MRS. JULIE M FLANAGAN ACNS, BC Individual | Clinical Nurse Specialist (Adult Health) | 530 PARK AVE E PRINCETON, IL 61356 (815) 875-8666 |
| 1023372869 | DEBRA K AUSTIN Individual | Physical Therapist | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-4494 |
| 1710241286 | JACQUELYN JOHNSON OTR/L Individual | Occupational Therapist | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-4494 |
| 1619231719 | MRS. VICTORIA JEANNINE ANDERSON PTA Individual | Physical Therapy Assistant | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-4494 |
| 1942551312 | MRS. JENNY GAWORSKI FNP,BC Individual | Nurse Practitioner (Family) | 530 PARK AVE E PRINCETON, IL 61356 (815) 875-8666 |
| 1114326956 | KETAN R PATEL Organization | Internal Medicine | 530 PARK AVE E SUITE 101 PRINCETON, IL 61356 (815) 872-1221 |
| 1619965266 | ASSOCIATED GASTROENTEROLOGY CONSULTANTS, INC. Organization | Internal Medicine (Gastroenterology) | 530 PARK AVE E SUITE 207 PRINCETON, IL 61356 (815) 875-8666 |
| 1427529577 | ASHLEY KANNENBERG RD, LDN Individual | Dietitian, Registered | 530 PARK AVE E PRINCETON, IL 61356 (815) 876-4448 |
| 1285622340 | DR. EDWARD DORAN MD Individual | Internal Medicine (Gastroenterology) | 530 PARK AVE E SUITE 7 PRINCETON, IL 61356 (815) 875-8666 |
| 1124021308 | JULIA RACKLEY PERRY MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 530 PARK AVE E PRINCETON, IL 61356 (815) 875-2811 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619934833, enumerated in the NPI registry as an "organization" on May 01, 2006
The provider is located at 530 Park Ave E Princeton, Il 61356 and the phone number is (815) 875-2811
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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