Quail Park At Crystal Terrace

LBN: Quail Park Of Klamath Falls, Llc
Quail Park At Crystal Terrace is an health care organization with primary practice located at 1000 Town Center Dr , Klamath Falls OR 97601-7137. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Quail Park Of Klamath Falls, Llc can be contacted via phone (541) 885-7250, or through Bryant, Denis R via phone (206) 441-1770.

Contact Information

Primary practice address
1000 Town Center Dr Klamath Falls OR 97601-7137
Fax: (541) 882-8882
Website:
Authorized official contact:
Name: Bryant, Denis R

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1090374171 Oregon

Profile Details

NPI number 1538425368
LBN Legal business name Quail Park Of Klamath Falls, Llc
DBA Doing business as Quail Park At Crystal Terrace
Authorized official Bryant, Denis R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 12 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 1538425368 NPPES
Oregon MEDICAID 523250

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