Washington Odd Fellows Home

LBN: Washington Odd Fellows Home
Washington Odd Fellows Home is an health care organization with primary practice located at 534 Boyer Ave , Walla Walla WA 99362-2047. 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. Washington Odd Fellows Home can be contacted via phone (509) 525-6463, or through Brigham, John R via phone (509) 525-6463.

Contact Information

Primary practice address
534 Boyer Ave Walla Walla WA 99362-2047
Phone: (509) 525-6463
Fax: (509) 522-0578
Website:
Map and Directions
Authorized official contact:
Name: Brigham, John R
Phone: (509) 525-6463

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X BH125 Washington

Profile Details

NPI number 1114917630
LBN Legal business name Washington Odd Fellows Home
DBA Doing business as
Authorized official Brigham, John R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1114917630 NPPES
Washington MEDICAID 129082

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