Bonaventure Place Retirement & Assisted Living Community Llc in Salem - Exclusive Provider Organization
Bonaventure Place Retirement & Assisted Living Community Llc - NPI 1063600062
Bonaventure Place Retirement & Assisted Living Community Llc is a Exclusive Provider Organization in Salem, Oregon. Bonaventure Place Retirement & Assisted Living Community Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Bonaventure Place Retirement & Assisted Living Community Llc is 1063600062. The last update date is 2007-10-04.
Bonaventure Place Retirement & Assisted Living Community Llc's current location address is 3220 State St, Salem, Oregon. You can contact this provider via phone number 5035665715 and fax number 5035883531. The mailing address for Bonaventure Place Retirement & Assisted Living Community Llc is 3220 State St, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonaventure Place Retirement & Assisted Living Community Llc |
|---|---|
| Address | 3220 State St, Salem, Oregon |
| Phone Number | 5035665715 |
| Fax Number | 5035883531 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND PR |
|---|---|
| Authorized Official Name | Hamilton D Kelley |
| Telephone Number | 5035665715 |
NPI Number Detail
| NPI Number | 1063600062 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 3220 State St |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973016872 |
| Phone Number | 5035665715 |
| Fax Number | 5035883531 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W55531 | ID | CERTIFICATE # |
Post Comment/ Review Below
What is the Bonaventure Place Retirement & Assisted Living Community Llc's 1063600062?
The Bonaventure Place Retirement & Assisted Living Community Llc's NPI (National Provider Identifier) Number is 1063600062. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bonaventure Place Retirement & Assisted Living Community Llc?
The Bonaventure Place Retirement & Assisted Living Community Llc is situated at 3220 State St, in the city of Salem, state of OR, with the zip code 973016872.
What is Bonaventure Place Retirement & Assisted Living Community Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bonaventure Place Retirement & Assisted Living Community Llc's specialized field of practice is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302F00000X.
When did Bonaventure Place Retirement & Assisted Living Community Llc receive its 1063600062 assignment?
The Bonaventure Place Retirement & Assisted Living Community Llc was assigned its 1063600062 on 2007-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Bonaventure Place Retirement & Assisted Living Community Llc's details last updated?
The information pertaining to the Bonaventure Place Retirement & Assisted Living Community Llc, including its address, specialty, and other details, was most recently updated on 2007-10-04.
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