Evergreen Americana Health And Rehabilitation Center

LBN: Evergreen Americana Health And Rehabilitation Center
Evergreen Americana Health And Rehabilitation Center is an health care organization with primary practice located at 917 7Th Ave , Longview WA 98632-2601. 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. Evergreen Americana Health And Rehabilitation Center can be contacted via phone (360) 425-5910, or through Fox, Jody A. via phone (360) 425-5910.

Contact Information

Primary practice address
917 7Th Ave Longview WA 98632-2601
Phone: (360) 425-5910
Fax: (360) 636-5935
Website:
Map and Directions
Authorized official contact:
Name: Fox, Jody A.
Phone: (360) 425-5910

Health care specialties

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

Profile Details

NPI number 1538154885
LBN Legal business name Evergreen Americana Health And Rehabilitation Center
DBA Doing business as
Authorized official Fox, Jody A.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538154885 NPPES
Washington MEDICAID 4112231

Popular Providers