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Petersen Health Operations, LLC

Skilled Nursing Facility in Vandalia, IL · enumerated 2008 · authorized official Mark Petersen, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083868095

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Registry record

Entity type Organization (Type 2)
Legal business name Petersen Health Operations, LLC
Other name <Unavail>
Practice address 1500 W Saint Louis Ave, Vandalia, IL, 62471
Phone (618) 283-4262
Enumeration date Nov 5, 2008
Last updated in NPPES Nov 5, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0047589 (IL) Primary

Authorized official

Name Mark Petersen
Title Manager
Phone (309) 691-8113

Other identifiers

Identifier Type State Issuer
203224201024 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-11-05. Verify at npiregistry.cms.hhs.gov.
Where is Petersen Health Operations, LLC located?
The practice location on file with NPPES is in Vandalia, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-05.