Peterson Nursing Home

LBN: Peterson Health Care, Inc.
Peterson Nursing Home is an health care organization with primary practice located at 630 Holliday St , Osage City KS 66523-1138. 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. Peterson Health Care, Inc. can be contacted via phone (785) 528-4420, or through Peterson, Crystal W via phone (785) 528-4420.

Contact Information

Primary practice address
630 Holliday St Osage City KS 66523-1138
Phone: (785) 528-4420
Fax: (785) 528-3501
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Crystal W
Phone: (785) 528-4420

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N070004 Kansas

Profile Details

NPI number 1346358868
LBN Legal business name Peterson Health Care, Inc.
DBA Doing business as Peterson Nursing Home
Authorized official Peterson, Crystal W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jan 27th, 2012 - about 14 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 1346358868 NPPES
Kansas MEDICAID 100109480A
Kansas Other 1175

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