Providence Health & Services Oregon in Mount Angel - Nursing Facility/intermediate Care Facility
Providence Health & Services Oregon - NPI 1417978164
Providence Health & Services Oregon is a Nursing Facility/intermediate Care Facility in Mount Angel, Oregon. Providence Health & Services Oregon practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Providence Health & Services Oregon is 1417978164. The last update date is 2022-01-28.
Providence Health & Services Oregon's current location address is 540 S Main St, Mount Angel, Oregon. You can contact this provider via phone number 5038456841 and fax number 5038459229. The mailing address for Providence Health & Services Oregon is 540 S Main St, Mount Angel, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Oregon |
|---|---|
| Address | 540 S Main St, Mount Angel, Oregon |
| Phone Number | 5038456841 |
| Fax Number | 5038459229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST SEC F |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1417978164 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2022-01-28 |
Provider Mailing Address Detail
| Address | 540 S Main St |
|---|---|
| City | Mount Angel |
| State | Oregon (OR) |
| Post Code | 973629540 |
| Phone Number | 5038456841 |
| Fax Number | 5038459229 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 385018 |
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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 |
|---|---|---|---|
| 800006 | OR | -- |
Post Comment/ Review Below
What is the Providence Health & Services Oregon's 1417978164?
The Providence Health & Services Oregon's NPI (National Provider Identifier) Number is 1417978164. 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 Providence Health & Services Oregon?
The Providence Health & Services Oregon is situated at 540 S Main St, in the city of Mount Angel, state of OR, with the zip code 973629540.
What is the Providence Health & Services Oregon's specialty and taxonomy code?
The Providence Health & Services Oregon's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Providence Health & Services Oregon receive its 1417978164 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health & Services Oregon was assigned its 1417978164 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Providence Health & Services Oregon most recently updated?
The details pertaining to the Providence Health & Services Oregon, including its address, specialty, and other relevant information, were last refreshed on 2022-01-28.