Brookdale Springfield Woodside

LBN: Emeritus Corporation
Brookdale Springfield Woodside is an health care organization with primary practice located at 4851 Main St , Springfield OR 97478-6057. 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. Emeritus Corporation can be contacted via phone (541) 747-1887, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
4851 Main St Springfield OR 97478-6057
Phone: (541) 747-1887
Fax: (541) 747-0181
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

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

Profile Details

NPI number 1679887806
LBN Legal business name Emeritus Corporation
DBA Doing business as Brookdale Springfield Woodside
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2010
Last updated May 16th, 2016 - about 9 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 1679887806 NPPES
Oregon MEDICAID 521967

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