Portageville Nursing Center

LBN: N & R Of Portageville, Inc.
Portageville Nursing Center is an health care organization with primary practice located at 290 W State Highway 162 , Portageville MO 63873-9397. 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. N & R Of Portageville, Inc. can be contacted via phone (573) 379-2017, or through Hudspeth, Thomas via phone (573) 392-0316.

Contact Information

Primary practice address
290 W State Highway 162 Portageville MO 63873-9397
Phone: (573) 379-2017
Fax: (573) 379-2735
Website:
Map and Directions
Authorized official contact:
Name: Hudspeth, Thomas
Phone: (573) 392-0316

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030678 Missouri

Profile Details

NPI number 1487640777
LBN Legal business name N & R Of Portageville, Inc.
DBA Doing business as Portageville Nursing Center
Authorized official Hudspeth, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 21st, 2009 - about 16 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 1487640777 NPPES
Missouri Other 16877926 STATE ID
Missouri MEDICAID 103235008 STATE ID

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