PERRY MEMORIAL HOSPITAL
NPI 1124021308
General Acute Care Hospital, Critical Access in Princeton,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

530 Park Ave E
Princeton,
Post Code: 61356
Phone: (815) 875-2811
Fax: (815) 876-4455

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Perry Memorial Hospital in Princeton - General Acute Care Hospital, Critical Access

Perry Memorial Hospital is a General Acute Care Hospital, Critical Access in Princeton, . Perry Memorial Hospital practices all healthcare services and medical treatments related to General Acute Care Hospital, Critical Access. The NPI Number for Perry Memorial Hospital is 1124021308. The last update date is 2020-03-17.

Perry Memorial Hospital's current location address is 530 Park Ave E, Princeton, . You can contact this provider via phone number (815) 875-2811 and fax number (815) 876-4455. The mailing address for Perry Memorial Hospital is 530 Park Ave E, Princeton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124021308
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,
Location Phone
(815) 875-2811
Location Fax
(815) 876-4455
Mailing Address
530 Park Ave E, Princeton, Illinois(IL)
Mailing Phone
815-875-2811
Mailing Fax
815-876-4455
Enumeration Date
2005-05-23
Last Update Date
2020-03-17
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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

General Acute Care Hospital, Critical Access

Taxonomy Code
282NC0060X
Type
-
License No.
0001883
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001193 Other (non-Medicare) (01) Illinois (IL) HEALTH ALLIANCE
122 Other (non-Medicare) (01) Illinois (IL) BLUE CROSS
336006057001 MEDICAID (05) Illinois (IL)
336006057401 MEDICAID (05) Illinois (IL)
a61356001 Other (non-Medicare) (01) Illinois (IL) John Deere

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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.
1124021308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214402230
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 214402230
2 + 1 + 4 + 4 + 0 + 2 + 2 + 3 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 8 8

The NPI number 1124021308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124021266 ALVERNO LAKESIDE CORPORATION
ALVERNO ADVANCED LIFE SUPPORT SERVICE
Organization
Ambulance 20201 CRAWFORD AVE
OLYMPIA FIELDS, Illinois (IL)
708-747-4000
1124020821 RICHARD LANE KUSUNOSE
Individual
Podiatrist, Foot & Ankle Surgery 40 SKOKIE BLVD STE 520
NORTHBROOK, Illinois (IL)
847-504-5000
1124020540 SCOTT A KAMELLE
Individual
Obstetrics & Gynecology, Gynecologic Oncology 8905 W LINCOLN AVE
WEST ALLIS, Wisconsin (WI)
414-329-5651
1124020532 MARC N. ROY
Individual
Radiology, Diagnostic Radiology 520 E 22ND ST
LOMBARD, Illinois (IL)
630-874-2542
1124020474 REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
PROVIDENCE HEALTHCARE AND REHABILITATION CENTER SOUTH HOLLAND
Organization
Skilled Nursing Facility 16300 WAUSAU AVE
SOUTH HOLLAND, Illinois (IL)
708-596-5500