Prairie City Rehab & Health Care

LBN: Prairie City Hco, Llc
Prairie City Rehab & Health Care is an health care organization with primary practice located at 825 E Main St , Prairie City IL 61470-9411. 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. Prairie City Hco, Llc can be contacted via phone (309) 775-3313, or through Petersen, Mark B. via phone (309) 689-5880.

Contact Information

Primary practice address
825 E Main St Prairie City IL 61470-9411
Phone: (309) 775-3313
Fax: (309) 775-3311
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 689-5880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 146038 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0045377 Illinois

Profile Details

NPI number 1932215548
LBN Legal business name Prairie City Hco, Llc
DBA Doing business as Prairie City Rehab & Health Care
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Sep 15th, 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 1932215548 NPPES
Illinois MEDICAID 0045377

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