| Peru Medical Center | |
|
751 W 2nd St Ste 100 Peru IN 46970-1385 | |
| (765) 919-4378 | |
| (765) 919-4672 |
| Full Name | Peru Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 751 W 2nd St Ste 100, Peru, Indiana |
| Authorized Official Name and Position | Stanton Risser (ACFO) |
| Authorized Official Contact | 2602669380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peru Medical Center 1101 Michigan Ave Logansport IN 46947-1596 Ph: (574) 753-1778 | Peru Medical Center 751 W 2nd St Ste 100 Peru IN 46970-1385 Ph: (765) 919-4378 |
| NPI Number | 1770248015 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770248015 | NPI | - | NPPES |
| 300117491 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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