Menard Convalescent Center, Inc
Organization Active NPI Skilled Nursing Facility · Petersburg, IL
NPI 1003068776 · NPPES record last updated Oct 14, 2008
Key facts
- NPI
- 1003068776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0003020 (IL)
- Legal business name
- MENARD CONVALESCENT CENTER, INC
- Practice address
- 120 W Antle St
Petersburg, IL 62675-1035 - Phone
- (217) 632-2249
- Fax
- (217) 632-7810
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Jerry W Jennings
- Title
- Controller
- Phone
- (217) 787-8530
National Provider Directory
Locations
2653 W Lawrence Ave
Ste B
Springfield, IL 62704
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0003020 | IL | Yes |
Addresses
Primary practice location
120 W Antle St
Petersburg, IL 62675-1035
Mailing address
2653 W Lawrence Ave Ste B
Springfield, IL 62704-1115
Phone (217) 787-8530
Other providers in Petersburg, IL
- Mary N Hollis
- Hillary Maria Kelly
- Katherine A Krall
- Amanda L. Meeks
- Memorial Physician Services
- Menard Convalescent Center, Inc
- Menard County Health Department
- Menard Medical Center, LLC
- Menard Medical Center, LLC
- Tracy Ann Muller
All providers in Petersburg, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.