IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER – NPI #1619166758
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER is an AHC clinic located in PERU, IL. NPPES has assigned the NPI number 1619166758 to IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER on October 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER” is a dba name, the actual legal business name for this organization is ST. MARGARET'S HEALTH-PERU. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 5 years ago on Jan 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER below.

NPI Profile for
ST. MARGARET'S HEALTH-PERU

NPI Number
1619166758
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. MARGARET'S HEALTH-PERU
Doing Business As (dba): IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER
Other name(s)
All associated names:
Doing Business As (dba)
IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER
Doing Business As (dba)
SMH-Peru/Women's Health Care Center
Primary location
920 WEST ST BLDG B
PERU, IL 61354-2763
Phone: (815) 223-2944 Fax: (815) 223-4095
Mailing address
1305 6TH ST
PERU, IL 61354-2759
Phone: (815) 780-5029 Fax: (815) 780-4634
Organization Subpart
Yes - IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER is subpart of another organization.
Authorized Official
DORI BONNELL
DIRECTOR OF PHYSICIAN PRACTICES
Phone: (815) 780-3222
Updated
Certification Date
Jan 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IVCH MEDICAL GROUP / WOMEN'S HEALTH CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC/BS00600119
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.