Petersen Health Care - Farmer City

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PETERSEN HEALTH CARE - FARMER CITY

Practice address

404 Brookview Dr
Farmer City, IL 61842-9746

Phone

(309) 928-2118

Fax

(309) 928-2313

NPI assigned

May 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark B Petersen

Title

President

Phone

(309) 691-8113

Specialties & licenses 1

Addresses

Other names 1

• Farmer City Rehab & Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224892800000",
    "number": "1184882490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W TRAILCREEK DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141862",
            "telephone_number": "309-691-8113",
            "fax_number": "309-691-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BROOKVIEW DR",
            "city": "FARMER CITY",
            "state": "IL",
            "postal_code": "618429746",
            "telephone_number": "309-928-2118",
            "fax_number": "309-928-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN HEALTH CARE - FARMER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-10-25",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-691-8113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmer City Rehab & Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie A Johnston, COTA
• Bobbi S Kennedy
• Kris Erin Knox, ATC
• Mimi Marks, M.T.
• Kara Lynn Moody, APN
• Petersen Health Care - Farmer City, LLC
• Aaron G. Skinner, D.C.
• Patricia J Spurlock, D.C.
• Kara Stockwill

• Skilled Nursing Facility in Farmer City, IL
• Providers in Farmer City, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.