Bethany At Pacific

LBN: Bethany Of The Northwest
Bethany At Pacific is an health care organization with primary practice located at 916 Pacific Avenue , Everett WA 98201. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bethany Of The Northwest can be contacted via phone (425) 259-5508, or through Scrivens, Joseph via phone (425) 551-6400.

Contact Information

Primary practice address
916 Pacific Avenue Everett WA 98201
Fax: (425) 258-5656
Website:
Authorized official contact:
Name: Scrivens, Joseph

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 313007682 Washington

Profile Details

NPI number 1003879800
LBN Legal business name Bethany Of The Northwest
DBA Doing business as Bethany At Pacific
Authorized official Scrivens, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 18th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003879800 NPPES
Washington MEDICAID 4112900

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