Pine Lodge Center

LBN: Sunbridge Beckley Health Care Llc
Pine Lodge Center is an health care organization with primary practice located at 405 Stanaford Rd , Beckley WV 25801-3143. 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. Sunbridge Beckley Health Care Llc can be contacted via phone (304) 252-6317, or through Berg, Michael via phone (505) 821-3355.

Contact Information

Primary practice address
405 Stanaford Rd Beckley WV 25801-3143
Phone: (304) 252-6317
Fax: (304) 253-4140
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael
Phone: (505) 821-3355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 18 West Virginia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 18 West Virginia

Profile Details

NPI number 1841247376
LBN Legal business name Sunbridge Beckley Health Care Llc
DBA Doing business as Pine Lodge Center
Authorized official Berg, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2006
Last updated Jul 13th, 2015 - about 9 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 1841247376 NPPES
West Virginia MEDICAID 0004048000

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