Providence Benedictine Nursing Center

LBN: Providence Health & Services Oregon
Providence Benedictine Nursing Center is an health care organization with primary practice located at 540 S Main St , Mount Angel OR 97362-9540. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 845-6841, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
540 S Main St Mount Angel OR 97362-9540
Phone: (503) 845-6841
Fax: (503) 845-9229
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 385018 Oregon
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 385018 Oregon

Profile Details

NPI number 1417978164
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Benedictine Nursing Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 28th, 2022 - about 2 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 1417978164 NPPES
Oregon MEDICAID 800006

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