Providence Health Care in Chewelah - Skilled Nursing Facility
Providence Health Care - NPI 1043306541
Providence Health Care is a Skilled Nursing Facility in Chewelah, Washington. Providence Health Care practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Providence Health Care is 1043306541. The last update date is 2008-04-15.
Providence Health Care's current location address is Po Box 197, Chewelah, Washington. You can contact this provider via phone number 5099358211 and fax number 5099355205. The mailing address for Providence Health Care is Po Box 197, Chewelah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health Care |
|---|---|
| Address | Po Box 197, Chewelah, Washington |
| Phone Number | 5099358211 |
| Fax Number | 5099355205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Peck Gary |
| Telephone Number | 5099355200 |
NPI Number Detail
| NPI Number | 1043306541 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | Po Box 197 |
|---|---|
| City | Chewelah |
| State | Washington (WA) |
| Post Code | 991090197 |
| Phone Number | 5099358211 |
| Fax Number | 5099355205 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | H-194 |
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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 |
|---|---|---|---|
| 42-194-08 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Health Care by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Health Care has been assigned the NPI (National Provider Identifier) 1043306541. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Providence Health Care's facilities are geographically located?
The facilities of Providence Health Care are physically situated at the following location: Po Box 197, Chewelah, WA, 991090197.
What is Providence Health Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Providence Health Care is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Providence Health Care receive its 1043306541 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health Care was assigned its 1043306541 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information pertaining to Providence Health Care most recently updated or revised?
The details related to Providence Health Care, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-15.