Scottish Rite Park, Inc. in Des Moines - Nursing Facility/intermediate Care Facility
Scottish Rite Park, Inc. - NPI 1679527840
Scottish Rite Park, Inc. is a Nursing Facility/intermediate Care Facility in Des Moines, Iowa. Scottish Rite Park, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Scottish Rite Park, Inc. is 1679527840. The last update date is 2009-09-04.
Scottish Rite Park, Inc.'s current location address is 2909 Woodland Ave., Des Moines, Iowa. You can contact this provider via phone number 5152744614 and fax number 5152746049. The mailing address for Scottish Rite Park, Inc. is 2909 Woodland Ave., Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scottish Rite Park, Inc. |
|---|---|
| Address | 2909 Woodland Ave., Des Moines, Iowa |
| Phone Number | 5152744614 |
| Fax Number | 5152746049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Allen William Mark |
| Telephone Number | 5152022010 |
NPI Number Detail
| NPI Number | 1679527840 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2009-09-04 |
Provider Mailing Address Detail
| Address | 2909 Woodland Ave. |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 50312 |
| Phone Number | 5152744614 |
| Fax Number | 5152746049 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 770155 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16D0912082 | IA | CLIA | |
| 770155 | IA | IA LICENSE # | |
| 800022 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Scottish Rite Park, Inc. by the Centers for Medicare & Medicaid Services?
The Scottish Rite Park, Inc. has been assigned the NPI (National Provider Identifier) 1679527840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Scottish Rite Park, Inc. located?
The Scottish Rite Park, Inc. is located at 2909 Woodland Ave., Des Moines, IA 50312.
What is the Scottish Rite Park, Inc.'s specialty and taxonomy code?
The Scottish Rite Park, Inc.'s specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did Scottish Rite Park, Inc. receive its 1679527840 assignment from the Centers for Medicare & Medicaid Services?
The Scottish Rite Park, Inc. was assigned its 1679527840 on 2006-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Scottish Rite Park, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scottish Rite Park, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-04.