Shield California Health Care Center, Inc.
LBN: Shield California Health Care Center, Inc.
Shield California Health Care Center, Inc. is an health care organization with primary practice located at 615 Strander Blvd , Tukwila WA 98188-2922. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty.
Shield California Health Care Center, Inc. can be contacted via phone (206) 575-7837, or through Collins, Paul via phone (661) 294-4200.
Contact Information
Primary practice address
615 Strander Blvd
Tukwila WA 98188-2922
Phone: (206) 575-7837
Fax: (206) 575-6765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 09-1717 | Washington |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1063656320 |
|---|---|
| LBN Legal business name | Shield California Health Care Center, Inc. |
| DBA Doing business as | |
| Authorized official | Collins, Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Nov 20th, 2020 - about 5 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 | 1063656320 | NPPES |
| Washington | MEDICAID | 9049404 |
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