Sundown M Ranch in Selah - Substance Abuse Treatment, Children
Sundown M Ranch - NPI 1154474104
Sundown M Ranch is a Substance Abuse Treatment, Children in Selah, Washington. Sundown M Ranch practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Sundown M Ranch is 1154474104. The last update date is 2022-08-23.
Sundown M Ranch's current location address is Po Box 217, Selah, Washington. You can contact this provider via phone number 5094570990. The mailing address for Sundown M Ranch is Po Box 217, Selah, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sundown M Ranch |
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Address | Po Box 217, Selah, Washington |
Phone Number | 5094570990 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Loes Mark |
Credentials | SUPD, MBA |
Telephone Number | 5099690092 |
NPI Number Detail
NPI Number | 1154474104 |
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Provider Enumeration Date | 2007-01-20 |
Last Updated Date | 2022-08-23 |
Provider Mailing Address Detail
Address | Po Box 217 |
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City | Selah |
State | Washington (WA) |
Post Code | 989420217 |
Phone Number | 5094570990 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Treatment, Children |
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Taxonomy | 3245S0500X |
Licence No | RTF-1064 |
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1003772 | WA | -- |
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What is the unique 10-digit identifier code issued to Sundown M Ranch by the Centers for Medicare & Medicaid Services?
The Sundown M Ranch has been assigned the NPI (National Provider Identifier) 1154474104 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sundown M Ranch's physical address?
The Sundown M Ranch is physically located at Po Box 217, in the city of Selah, WA, with the postal code 989420217.
What is Sundown M Ranch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sundown M Ranch is Substance Abuse Treatment, Children, and the taxonomy classification code that categorizes this area of expertise is 3245S0500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154474104 to Sundown M Ranch?
The Centers for Medicare & Medicaid Services assigned the 1154474104 to Sundown M Ranch on 2007-01-20.
When was the information regarding Sundown M Ranch most recently updated?
The details pertaining to the Sundown M Ranch, including its address, specialty, and other relevant information, were last refreshed on 2022-08-23.
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