Prestige Care & Rehabilitation - Pinewood Terrace

LBN: Care Center Colville Inc.
Prestige Care & Rehabilitation - Pinewood Terrace is an health care organization with primary practice located at 1000 E Elep Ave , Colville WA 99114-5014. 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. Care Center Colville Inc. can be contacted via phone (509) 684-2573, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
1000 E Elep Ave Colville WA 99114-5014
Fax: (509) 685-2234
Website:
Authorized official contact:
Name: Vislocky, Gregory J

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1303 Washington

Profile Details

NPI number 1699019711
LBN Legal business name Care Center Colville Inc.
DBA Doing business as Prestige Care & Rehabilitation - Pinewood Terrace
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Jan 15th, 2013 - about 12 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 1699019711 NPPES
Washington MEDICAID 4114578

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