Sundown M Ranch

LBN: Sundown M Ranch
Sundown M Ranch is an health care organization with primary practice located at 2280 State Route 821 , Yakima WA 98901-8302. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Sundown M Ranch can be contacted via phone (509) 457-0990, or through Loes, Mark via phone (509) 969-0092.

Contact Information

Primary practice address
2280 State Route 821 Yakima WA 98901-8302
Phone: (509) 457-0990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Loes, Mark SUPD, MBA
Phone: (509) 969-0092

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X RTF-1064 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X RTF-1064 Washington
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X RTF-1064 Washington
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X RTF-1064 Washington

Profile Details

NPI number 1154474104
LBN Legal business name Sundown M Ranch
DBA Doing business as
Authorized official Loes, Mark SUPD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2007
Last updated Aug 23rd, 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 1154474104 NPPES
Washington MEDICAID 1003772

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