Meadowlawn Health Care

LBN: Petersen Health Care, Inc.
Meadowlawn Health Care is an health care organization with primary practice located at 4656 W Kimberly Rd , Davenport IA 52806-7111. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Petersen Health Care, Inc. can be contacted via phone (563) 391-5150, or through Petersen, Mark B. via phone (309) 691-8113.

Contact Information

Primary practice address
4656 W Kimberly Rd Davenport IA 52806-7111
Phone: (563) 391-5150
Fax: (563) 391-3901
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 691-8113

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 820624 Iowa

Profile Details

NPI number 1962468769
LBN Legal business name Petersen Health Care, Inc.
DBA Doing business as Meadowlawn Health Care
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962468769 NPPES
Iowa MEDICAID 0809459

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