Organization · Type 2 NPI

Julia Rackley Perry Memorial Hospital

Rural Health Clinic/Center · Walnut, IL

NPI number 1043786338 Active

Practice location

105 N Main St Ste 1
Walnut, IL 61376-9707

Call (815) 379-2020 Map

Fax (815) 379-2018

Mailing address

530 Park Ave E
Princeton, IL 61356-3901

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Julia Rackley Perry Memorial HospitalPrimary Care Clinic/Center Walnut, IL NPI 1033649967

NPI record

NPI: 1043786338
Entity type: Organization (Type 2)
Issued: Oct 15, 2018
Last updated: Jun 15, 2020
Status: Active
Subpart: Yes of Julia Rackley Perry Memorial Hospital

Other names

<unavail>
Perry Memorial Walnut Clinic · doing business as
Perry Memorial Walnut Clinic · doing business as

Authorized official

Jean Welte
Medical Staff Services Coordinator
(815) 876-2293

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043786338

Julia Rackley Perry Memorial Hospital's National Provider Identifier is 1043786338, issued on Oct 15, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Walnut, IL. The record was last updated on Jun 15, 2020.