Clearwater Springs Al Gr, Llc

LBN: Clearwater Springs Al Gr, Llc
Clearwater Springs Al Gr, Llc is an health care organization with primary practice located at 201 Nw 78Th St , Vancouver WA 98665-7904. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Clearwater Springs Al Gr, Llc can be contacted via phone (360) 546-3344, or through Roderick, Gregory via phone (503) 443-1818.

Contact Information

Primary practice address
201 Nw 78Th St Vancouver WA 98665-7904
Phone: (360) 546-3344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roderick, Gregory
Phone: (503) 443-1818

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1114543501
LBN Legal business name Clearwater Springs Al Gr, Llc
DBA Doing business as
Authorized official Roderick, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2020
Last updated Jun 22nd, 2020 - about 4 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 1114543501 NPPES
Washington MEDICAID 207240

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