Petersen Health Network, Llc in Peoria - Skilled Nursing Facility
Petersen Health Network, Llc - NPI 1952399255
Petersen Health Network, Llc is a Skilled Nursing Facility in Peoria, Illinois. Petersen Health Network, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Petersen Health Network, Llc is 1952399255. The last update date is 2017-02-02.
Petersen Health Network, Llc's current location address is 830 W Trailcreek Dr, Peoria, Illinois. You can contact this provider via phone number 3096918113 and fax number 3096918622. The mailing address for Petersen Health Network, Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Petersen Health Network, Llc |
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Address | 830 W Trailcreek Dr, Peoria, Illinois |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Petersen B Mark |
Telephone Number | 3096918113 |
NPI Number Detail
NPI Number | 1952399255 |
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Provider Enumeration Date | 2005-10-11 |
Last Updated Date | 2017-02-02 |
Provider Mailing Address Detail
Address | 830 W Trailcreek Dr |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616141862 |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 1652779 |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identification code assigned to Petersen Health Network, Llc by the Centers for Medicare & Medicaid Services?
The Petersen Health Network, Llc has been issued the NPI (National Provider Identifier) 1952399255, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Petersen Health Network, Llc?
The Petersen Health Network, Llc is physically situated at 830 W Trailcreek Dr, in the city of Peoria, state of IL, with the postal code 616141862.
What is Petersen Health Network, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Petersen Health Network, Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date was the 1952399255 assigned to Petersen Health Network, Llc?
The Petersen Health Network, Llc was issued its 1952399255 on 2005-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Petersen Health Network, Llc's details last updated?
The information pertaining to the Petersen Health Network, Llc, including its address, specialty, and other details, was most recently updated on 2017-02-02.