817 East Plum Street Operations Llc

LBN: 817 East Plum Street Operations Llc
817 East Plum Street Operations Llc is an health care organization with primary practice located at 817 E Plum St , Moses Lake WA 98837-1870. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 817 East Plum Street Operations Llc can be contacted via phone (509) 765-7835, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
817 E Plum St Moses Lake WA 98837-1870
Phone: (509) 765-7835
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T JD
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1427774918
LBN Legal business name 817 East Plum Street Operations Llc
DBA Doing business as
Authorized official Berg, Michael T JD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2022
Last updated Oct 17th, 2022 - 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 1427774918 NPPES
Other 505261 MEDICARE
MEDICAID 4114435 MEDICARE

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