SMH-PERU/ADULT MEDICINE CLINIC
NPI 1063683977
Clinic/Center - Medical Specialty in Peru, IL

NPI Status: Active since March 19, 2008

Contact Information

920 WEST ST STE 218
PERU, IL
ZIP 61354
Phone: (815) 780-3838
Fax: (815) 780-3836

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  • Organization
  • Clinic/Center
  • Medical Specialty

About SMH-PERU/ADULT MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Smh-peru/adult Medicine Clinic, a provider established in Peru, Illinois operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1063683977 assigned on March 2008. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Smh-peru/adult Medicine Clinic. The authorized official of this NPI record is Dori Bonnell (Director Of Physician Practices)

NPI
1063683977
Provider Legal Name
ST. MARGARET'S HEALTH-PERU
Other Organization Name
SMH-PERU/ADULT MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
920 WEST ST STE 218 PERU, IL 61354
Location Phone
(815) 780-3838
Location Fax
(815) 780-3836
Mailing Address
1305 6TH ST PERU, IL 61354
Mailing Phone
(815) 780-4619
Mailing Fax
(815) 780-3836
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-19-2008
Last Update Date
01-28-2021
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DORI BONNELL

Authorized Official Title
DIRECTOR OF PHYSICIAN PRACTICES
Authorized Official Phone
(815) 780-3222

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063683977, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 8 + 6 + 9 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063683977.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
920 WEST ST STE 218
PERU, IL 61354
Clinic/Center (Medical Specialty)
920 WEST ST STE 218
PERU, IL 61354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063683977, enumerated as an "organization" on March 19, 2008.

The provider is located at 920 WEST ST STE 218 PERU, IL 61354 and the phone number is (815) 780-3838.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.