Frontier Rehabilitation And Extended Care Center
LBN: Evergreen Washington Healthcare Frontier, L.L.C.
Frontier Rehabilitation And Extended Care Center is an health care organization with primary practice located at 1500 3Rd Ave , Longview WA 98632-8632. 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 Washington Healthcare Frontier, L.L.C. can be contacted via phone (360) 423-8800, or through Weil, Brent via phone (360) 892-6628.
Contact Information
Primary practice address
1500 3Rd Ave
Longview WA 98632-8632
Phone: (360) 423-8800
Fax: (360) 636-3421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1225 | Washington |
Profile Details
| NPI number | 1104811207 |
|---|---|
| LBN Legal business name | Evergreen Washington Healthcare Frontier, L.L.C. |
| DBA Doing business as | Frontier Rehabilitation And Extended Care Center |
| Authorized official | Weil, Brent |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 30th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104811207 | NPPES |
| Washington | Other | 1225 | STATE NH# |
| Washington | MEDICAID | 4112256 | STATE NH# |
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