Willow Creek Healthcare Center, Llc in Clovis - Skilled Nursing Facility
Willow Creek Healthcare Center, Llc - NPI 1003861089
Willow Creek Healthcare Center, Llc is a Skilled Nursing Facility in Clovis, California. Willow Creek Healthcare Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Willow Creek Healthcare Center, Llc is 1003861089. The last update date is 2016-02-01.
Willow Creek Healthcare Center, Llc's current location address is 650 W Alluvial Ave, Clovis, California. You can contact this provider via phone number 5593236200 and fax number 5593234665. The mailing address for Willow Creek Healthcare Center, Llc is 650 W Alluvial Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek Healthcare Center, Llc |
|---|---|
| Address | 650 W Alluvial Ave, Clovis, California |
| Phone Number | 5593236200 |
| Fax Number | 5593234665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Berg T. Michael |
| Telephone Number | 5054684752 |
NPI Number Detail
| NPI Number | 1003861089 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2016-02-01 |
Provider Mailing Address Detail
| Address | 650 W Alluvial Ave |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936116716 |
| Phone Number | 5593236200 |
| Fax Number | 5593234665 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 40000418 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC55652G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Willow Creek Healthcare Center, Llc by the Centers for Medicare & Medicaid Services?
The Willow Creek Healthcare Center, Llc has been issued the NPI (National Provider Identifier) 1003861089, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Willow Creek Healthcare Center, Llc's facilities are situated?
The facilities of Willow Creek Healthcare Center, Llc are physically located at the following address: 650 W Alluvial Ave, Clovis, CA, 936116716.
What is Willow Creek Healthcare Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Creek Healthcare Center, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did Willow Creek Healthcare Center, Llc receive its 1003861089 assignment from the Centers for Medicare & Medicaid Services?
The Willow Creek Healthcare Center, Llc was assigned its 1003861089 on 2006-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Willow Creek Healthcare Center, Llc's information last updated?
The Willow Creek Healthcare Center, Llc's information was last updated on 2016-02-01.