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Mcleansboro Hco, LLC

Skilled Nursing Facility in Mc Leansboro, IL · enumerated 2006 · authorized official Mark Petersen, Manager.

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

National Provider Identifier

1801834387

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Registry record

Entity type Organization (Type 2)
Legal business name Mcleansboro Hco, LLC
Other name <Unavail>
Practice address 405 W Carpenter St, Mc Leansboro, IL, 62859
Phone (618) 643-3728
Fax (618) 643-2330
Enumeration date Jun 4, 2006
Last updated in NPPES Sep 15, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0047498 (IL) Primary

Authorized official

Name Mark Petersen
Title Manager
Phone (309) 689-5880

Other identifiers

Identifier Type State Issuer
20-3224201014 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

Who is the authorized official for Mcleansboro Hco, LLC?
NPPES lists Mark Petersen (Manager) as the authorized official for this organization.
What is the NPI number for Mcleansboro Hco, LLC?
The NPI for Mcleansboro Hco, LLC is 1801834387, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-15.