Evergreen Washington Healthcare Whitman, L.L.C. in Colfax - Skilled Nursing Facility
Evergreen Washington Healthcare Whitman, L.L.C. - NPI 1265427397
Evergreen Washington Healthcare Whitman, L.L.C. is a Skilled Nursing Facility in Colfax, Washington. Evergreen Washington Healthcare Whitman, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Washington Healthcare Whitman, L.L.C. is 1265427397. The last update date is 2017-01-30.
Evergreen Washington Healthcare Whitman, L.L.C.'s current location address is 1150 W Fairview St, Colfax, Washington. You can contact this provider via phone number 5093974603 and fax number 5093979214. The mailing address for Evergreen Washington Healthcare Whitman, L.L.C. is 1150 W Fairview St, Colfax, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Washington Healthcare Whitman, L.L.C. |
|---|---|
| Address | 1150 W Fairview St, Colfax, Washington |
| Phone Number | 5093974603 |
| Fax Number | 5093979214 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1265427397 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 1150 W Fairview St |
|---|---|
| City | Colfax |
| State | Washington (WA) |
| Post Code | 991119580 |
| Phone Number | 5093974603 |
| Fax Number | 5093979214 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | MTS-2312 |
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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 |
|---|---|---|---|
| 4112405 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evergreen Washington Healthcare Whitman, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen Washington Healthcare Whitman, L.L.C. has been assigned the NPI (National Provider Identifier) 1265427397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Evergreen Washington Healthcare Whitman, L.L.C. is located?
The Evergreen Washington Healthcare Whitman, L.L.C. is situated at the following address: 1150 W Fairview St, Colfax, WA, 991119580.
What is Evergreen Washington Healthcare Whitman, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen Washington Healthcare Whitman, L.L.C.'s area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265427397 to Evergreen Washington Healthcare Whitman, L.L.C.?
The Centers for Medicare & Medicaid Services assigned the 1265427397 to Evergreen Washington Healthcare Whitman, L.L.C. on 2005-09-14.
When was the information regarding Evergreen Washington Healthcare Whitman, L.L.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Washington Healthcare Whitman, L.L.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-30.