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Contact Information

ARCOLA HCO, LLC
422 E 4TH SOUTH STREET
ARCOLA, IL61910
 Phone: 217-268-3022
 Fax: 217-268-4180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ARCOLA HCO, LLC

NPI Number 1437115417
LBN Legal business name ARCOLA HCO, LLC
Authorized official MARK PETERSEN - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/26/2006
Last updated 10/19/2020 - About 6 years ago
Identifiers
IL License # 0046045
IL Medicaid 37-1068286012
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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