Evergreen Oregon Healthcare Salem, L.L.C. in Salem - Skilled Nursing Facility
Evergreen Oregon Healthcare Salem, L.L.C. - NPI 1760430482
Evergreen Oregon Healthcare Salem, L.L.C. is a Skilled Nursing Facility in Salem, Oregon. Evergreen Oregon Healthcare Salem, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Oregon Healthcare Salem, L.L.C. is 1760430482. The last update date is 2017-01-30.
Evergreen Oregon Healthcare Salem, L.L.C.'s current location address is 820 Cottage St Ne, Salem, Oregon. You can contact this provider via phone number 5033991135 and fax number 5033997273. The mailing address for Evergreen Oregon Healthcare Salem, L.L.C. is 820 Cottage St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Oregon Healthcare Salem, L.L.C. |
|---|---|
| Address | 820 Cottage St Ne, Salem, Oregon |
| Phone Number | 5033991135 |
| Fax Number | 5033997273 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1760430482 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 820 Cottage St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012426 |
| Phone Number | 5033991135 |
| Fax Number | 5033997273 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1677 |
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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 |
|---|---|---|---|
| 800001 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Oregon Healthcare Salem, L.L.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen Oregon Healthcare Salem, L.L.C. has been assigned the NPI (National Provider Identifier) 1760430482. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Evergreen Oregon Healthcare Salem, L.L.C. located?
The Evergreen Oregon Healthcare Salem, L.L.C. is located at 820 Cottage St Ne, Salem, OR 973012426.
What is Evergreen Oregon Healthcare Salem, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen Oregon Healthcare Salem, L.L.C.'s area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When was the Evergreen Oregon Healthcare Salem, L.L.C.'s 1760430482 issued?
The Evergreen Oregon Healthcare Salem, L.L.C.'s 1760430482 was issued on 2006-05-05.
When was the information regarding Evergreen Oregon Healthcare Salem, L.L.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Oregon Healthcare Salem, L.L.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-30.