Petersen Health Network, Llc in Flora - Skilled Nursing Facility
Petersen Health Network, Llc - NPI 1275622003
Petersen Health Network, Llc is a Skilled Nursing Facility in Flora, 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 1275622003. The last update date is 2017-03-18.
Petersen Health Network, Llc's current location address is 701 Shadwell Ave, Flora, Illinois. You can contact this provider via phone number 6186628361 and fax number 6186622811. The mailing address for Petersen Health Network, Llc is 701 Shadwell Ave, Flora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Health Network, Llc |
|---|---|
| Address | 701 Shadwell Ave, Flora, Illinois |
| Phone Number | 6186628361 |
| Fax Number | 6186622811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen B Mark |
| Telephone Number | 3096918113 |
NPI Number Detail
| NPI Number | 1275622003 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2017-03-18 |
Provider Mailing Address Detail
| Address | 701 Shadwell Ave |
|---|---|
| City | Flora |
| State | Illinois (IL) |
| Post Code | 628392310 |
| Phone Number | 6186628361 |
| Fax Number | 6186622811 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 38760 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Petersen Health Network, Llc?
The Petersen Health Network, Llc has been issued the NPI (National Provider Identifier) 1275622003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Petersen Health Network, Llc?
The Petersen Health Network, Llc is physically situated at 701 Shadwell Ave, in the city of Flora, state of IL, with the postal code 628392310.
What is Petersen Health Network, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Petersen Health Network, Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Petersen Health Network, Llc receive its 1275622003 assignment from the Centers for Medicare & Medicaid Services?
The Petersen Health Network, Llc was assigned its 1275622003 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the Petersen Health Network, Llc's information last updated?
The Petersen Health Network, Llc's information was last updated on 2017-03-18.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT