Petersen Management Company, Llc in Mount Vernon - Skilled Nursing Facility
Petersen Management Company, Llc - NPI 1932132115
Petersen Management Company, Llc is a Skilled Nursing Facility in Mount Vernon, Illinois. Petersen Management Company, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Petersen Management Company, Llc is 1932132115. The last update date is 2013-05-23.
Petersen Management Company, Llc's current location address is 1700 White St, Mount Vernon, Illinois. You can contact this provider via phone number 6182424075 and fax number 6182424092. The mailing address for Petersen Management Company, Llc is 1700 White St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Management Company, Llc |
|---|---|
| Address | 1700 White St, Mount Vernon, Illinois |
| Phone Number | 6182424075 |
| Fax Number | 6182424092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096918113 |
NPI Number Detail
| NPI Number | 1932132115 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2013-05-23 |
Provider Mailing Address Detail
| Address | 1700 White St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628644349 |
| Phone Number | 6182424075 |
| Fax Number | 6182424092 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 743055934014 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Petersen Management Company, Llc by the Centers for Medicare & Medicaid Services?
The Petersen Management Company, Llc has been assigned the NPI (National Provider Identifier) 1932132115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Petersen Management Company, Llc's physical address?
The Petersen Management Company, Llc is physically located at 1700 White St, in the city of Mount Vernon, IL, with the postal code 628644349.
What is the Petersen Management Company, Llc's area of specialization and corresponding taxonomy classification?
The Petersen Management Company, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did Petersen Management Company, Llc receive its 1932132115 assignment from the Centers for Medicare & Medicaid Services?
The Petersen Management Company, Llc was assigned its 1932132115 on 2006-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Petersen Management Company, Llc most recently updated?
The details pertaining to the Petersen Management Company, Llc, including its address, specialty, and other relevant information, were last refreshed on 2013-05-23.