Evergreen Oregon Healthcare Valley Vista, L.L.C. in The Dalles - Skilled Nursing Facility
Evergreen Oregon Healthcare Valley Vista, L.L.C. - NPI 1487602173
Evergreen Oregon Healthcare Valley Vista, L.L.C. is a Skilled Nursing Facility in The Dalles, Oregon. Evergreen Oregon Healthcare Valley Vista, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Oregon Healthcare Valley Vista, L.L.C. is 1487602173. The last update date is 2017-01-30.
Evergreen Oregon Healthcare Valley Vista, L.L.C.'s current location address is 1023 W 25th St, The Dalles, Oregon. You can contact this provider via phone number 5412985158 and fax number 5412983864. The mailing address for Evergreen Oregon Healthcare Valley Vista, L.L.C. is 1023 W 25th St, The Dalles, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Oregon Healthcare Valley Vista, L.L.C. |
|---|---|
| Address | 1023 W 25th St, The Dalles, Oregon |
| Phone Number | 5412985158 |
| Fax Number | 5412983864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1487602173 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 1023 W 25th St |
|---|---|
| City | The Dalles |
| State | Oregon (OR) |
| Post Code | 970581251 |
| Phone Number | 5412985158 |
| Fax Number | 5412983864 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1668 |
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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 |
|---|---|---|---|
| 801055 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Oregon Healthcare Valley Vista, L.L.C.?
The Evergreen Oregon Healthcare Valley Vista, L.L.C. has been issued the NPI (National Provider Identifier) 1487602173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evergreen Oregon Healthcare Valley Vista, L.L.C.?
The Evergreen Oregon Healthcare Valley Vista, L.L.C. is physically situated at 1023 W 25Th St, in the city of The Dalles, state of OR, with the postal code 970581251.
What is Evergreen Oregon Healthcare Valley Vista, L.L.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen Oregon Healthcare Valley Vista, L.L.C. is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When did Evergreen Oregon Healthcare Valley Vista, L.L.C. receive its 1487602173 assignment?
The Evergreen Oregon Healthcare Valley Vista, L.L.C. was assigned its 1487602173 on 2006-05-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Evergreen Oregon Healthcare Valley Vista, L.L.C.'s details last updated?
The information pertaining to the Evergreen Oregon Healthcare Valley Vista, L.L.C., including its address, specialty, and other details, was most recently updated on 2017-01-30.