Puget Sound Healthcare Center

LBN: Puget Sound Healthcare - Olympia Llc
Puget Sound Healthcare Center is an health care organization with primary practice located at 4001 Capitol Mall Dr Sw , Olympia WA 98502-8657. 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. Puget Sound Healthcare - Olympia Llc can be contacted via phone (360) 754-9792, or through Jacobs, Dov E. via phone (323) 678-4426.

Contact Information

Primary practice address
4001 Capitol Mall Dr Sw Olympia WA 98502-8657
Phone: (360) 754-9792
Fax: (360) 754-2455
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Dov E.
Phone: (323) 678-4426

Health care specialties

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

Profile Details

NPI number 1629142294
LBN Legal business name Puget Sound Healthcare - Olympia Llc
DBA Doing business as Puget Sound Healthcare Center
Authorized official Jacobs, Dov E.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 18th, 2017 - about 8 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 1629142294 NPPES
Washington MEDICAID 4110102

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