Organization · Type 2 NPI

Pekin Memorial Hospital

Skilled Nursing Facility · Pekin, IL

NPI number 1174530489 Active

Practice location

600 S 13th St
Pekin, IL 61554-4936

Fax (309) 347-1240

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0001834 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

43 other providers at this address

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NPI record

NPI: 1174530489
Entity type: Organization (Type 2)
Issued: Aug 1, 2006
Last updated: Jun 28, 2010
Status: Active
Subpart: Yes of Pekin Memorial Hospital

Other names

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Pekin Hospital SNF · doing business as

Authorized official

Mr. Kevin Andrews
Chief Executive Officer
(309) 353-0756

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174530489

Pekin Memorial Hospital's National Provider Identifier is 1174530489, issued on Aug 1, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pekin, IL. The record was last updated on Jun 28, 2010.