Prairie City Hco, Llc in Prairie City - Skilled Nursing Facility
Prairie City Hco, Llc - NPI 1932215548
Prairie City Hco, Llc is a Skilled Nursing Facility in Prairie City, Illinois. Prairie City Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Prairie City Hco, Llc is 1932215548. The last update date is 2020-09-15.
Prairie City Hco, Llc's current location address is 825 E Main St, Prairie City, Illinois. You can contact this provider via phone number 3097753313 and fax number 3097753311. The mailing address for Prairie City Hco, Llc is 825 E Main St, Prairie City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie City Hco, Llc |
|---|---|
| Address | 825 E Main St, Prairie City, Illinois |
| Phone Number | 3097753313 |
| Fax Number | 3097753311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096895880 |
NPI Number Detail
| NPI Number | 1932215548 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-09-15 |
Provider Mailing Address Detail
| Address | 825 E Main St |
|---|---|
| City | Prairie City |
| State | Illinois (IL) |
| Post Code | 614709411 |
| Phone Number | 3097753313 |
| Fax Number | 3097753311 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 45377 |
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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 |
|---|---|---|---|
| 45377 | IL | -- |
Post Comment/ Review Below
What is the Prairie City Hco, Llc's 1932215548?
The Prairie City Hco, Llc's NPI (National Provider Identifier) Number is 1932215548. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Prairie City Hco, Llc's facilities are geographically located?
The facilities of Prairie City Hco, Llc are physically situated at the following location: 825 E Main St, Prairie City, IL, 614709411.
What is the Prairie City Hco, Llc's area of specialization and corresponding taxonomy classification?
The Prairie City Hco, 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 was the 1932215548 assigned to Prairie City Hco, Llc?
The Prairie City Hco, Llc was issued its 1932215548 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Prairie City Hco, Llc most recently updated or revised?
The details related to Prairie City Hco, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-15.
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