ILLINOIS VALLEY COMMUNITY HOSPITAL


Address: 1305 6th St, Peru, IL 61354-2759
Phone: 8157804644

ILLINOIS VALLEY COMMUNITY HOSPITAL (NPI# 1386005395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386005395
Entity Type Organization
Organization Name ILLINOIS VALLEY COMMUNITY HOSPITAL
Other Organization Name IVCH MEDICAL GROUP / STREATOR ORTHOPEDICS
Practice Address 1305 6th St
Peru
IL 61354-2759
Mailing Address 501 Oakley Ave
Streator
IL 61364-1002
Practice Telephone 8157804644
Mailing Telephone 8156722829
Enumeration Date 2016-03-18
Last Update Date 2016-03-18
Authorized Official Name DORI BONNELL (DIRECTOR OF PHYSICIAN PRACTICES)
Authorized Official Telephone 8157803222
Is Organization Subpart Y
Parent Organization Name ILLINOIS VALLEY ORTHOPEDICS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
IVCH Medical Group / Streator Orthopedics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205469483 Illinois Valley Community Hospital Registered Nurse 1403 Sixth Street, Peru, IL 61354 2020-02-17
1659744167 Illinois Valley Community Hospital Clinic/Center 920 West St Ste 117, Peru, IL 61354-2765 2015-11-05
1114299583 Illinois Valley Community Hospital Clinic/Center 815 N Orlando Smith St, Oglesby, IL 61348-9692 2012-02-01
1457668170 Illinois Valley Community Hospital Nurse Practitioner 5307 Route 251, Peru, IL 61354 2010-09-01
1982789582 Illinois Valley Community Hospital General Acute Care Hospital 925 West Street, Illinois Valley Community Hospital, Peru, IL 61354-2799 2006-10-25
1902800535 Illinois Valley Community Hospital Durable Medical Equipment & Medical Supplies 925 West St, Peru, IL 61354-2757 2005-06-10
1124596283 Illinois Valley Community Hospital Clinic/Center 310 Walnut St, Peru, IL 61354-1946 2018-11-07
1306207311 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2016-03-18
1578929816 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2015-12-31
1851764369 Illinois Valley Community Hospital Clinic/Center 920 West St, Suite 311, Peru, IL 61354-2763 2015-11-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ILLINOIS VALLEY COMMUNITY HOSPITAL 925 West St, Peru, IL 61354-2757

Office Location

Street Address 1305 6TH ST
City PERU
State IL
Zip Code 61354-2759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013915958 Jeffrey S Edwards Obstetrics & Gynecology 1305 6th St, Peru, IL 61354-2759 2005-07-13
1306207311 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2016-03-18
1578929816 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2015-12-31
1306273685 Heather Lynn Miller Advanced Practice Midwife 1305 6th St, Peru, IL 61354-2759 2013-10-02
1932440625 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2013-03-06
1467428466 Illinois Valley Community Hospital Hospice Care, Community Based 1305 6th St, Peru, IL 61354-2759 2006-02-28
1518933738 Illinois Valley Community Hospital Home Health 1305 6th St, Peru, IL 61354-2759 2006-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750247 Saida Samedova Optometrist 5255 Il-251, Peru, IL 61354 2020-11-06
1205469483 Illinois Valley Community Hospital Registered Nurse 1403 Sixth Street, Peru, IL 61354 2020-02-17
1689228322 Zhong Xue Dentist 5301 Il-251, Ste A, Peru, IL 61354 2019-07-31
1003281668 Christopher Shane Smith Physical Therapist 1400 Midtown Road, Peru, IL 61354 2015-12-08
1770823197 Muscle Pain Clinic Inc Chiropractor 4231 Progress Blvd Ste 4, Peru, IL 61354 2013-02-21
1306194451 Vijaya Lakshmi Bathina Dentist 5301 Route 251, Peru, IL 61354 2012-08-21
1225305634 Walgreens Point of Service 1033 Shooting Park Road, Peru, IL 61354 2011-11-30
1811293574 Charles Riva Physical Therapist 4461 N. Progress Blvd., Peru, IL 61354 2011-01-28
1932403896 Emerging Vision, Inc Eyewear Supplier (Equipment, not the service) 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 2011-01-06
1457668170 Illinois Valley Community Hospital Nurse Practitioner 5307 Route 251, Peru, IL 61354 2010-09-01
Find all providers in zip 61354

Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306207311 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2016-03-18
1578929816 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2015-12-31
1932440625 Illinois Valley Community Hospital Clinic/Center 1305 6th St, Peru, IL 61354-2759 2013-03-06
1063683977 Illinois Valley Community Hospital Clinic/Center 920 West St, Suite 216, Peru, IL 61354-2763 2008-03-19
1225214323 David J Coynik, Md,pc Clinic/Center 4413 N. Progress Blvd., Peru, IL 61354-2763 2008-01-18
1245429380 Illinois Valley Community Hospital Clinic/Center 710 Peoria St, Peru, IL 61354-3351 2007-10-15
1619166758 Illinois Valley Community Hospital Clinic/Center 920 West St Bldg B, Peru, IL 61354-2763 2007-10-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295351062 Sara M Gotheridge Md LLC Clinic/Center 630 Davis St Ste 301, Evanston, IL 60201-4480 2020-06-17
1407484645 Macumber Medical Ltd Clinic/Center 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 2020-04-01
1477181782 Embassy Studios North Clinic/Center 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 2020-03-31
1689226318 Midway Spine and Joint Pain Physicians Clinic/Center 5720 S Pulaski Rd, Chicago, IL 60629-4435 2019-07-12
1215598891 Vero Clinics Clinic/Center 1192 E Pershing Rd, Decatur, IL 62526-4753 2019-06-25
1497215933 Activate Healthcare Clinic/Center 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 2019-03-21
1033699467 Healthpointe Medical Center Sc Clinic/Center 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 2018-08-15
1740794882 Highland Park Cvs, L.L.C. Clinic/Center 72 Airport Plz, Bethalto, IL 62010-1774 2017-11-28
1447764014 Dr Courtney Drendel Inc Clinic/Center 515 Hamilton St # 100, Geneva, IL 60134-2138 2017-11-19
1699206599 David M Conner M.d. Clinic/Center 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 2017-03-22
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Competitor

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City PERU
Zip Code 61354

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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