Pioneer Care Center

LBN: Avalon Care Center - Brigham City, L.L.C.
Pioneer Care Center is an health care organization with primary practice located at 815 S 200 W , Brigham City UT 84302-3333. 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. Avalon Care Center - Brigham City, L.L.C. can be contacted via phone (435) 723-5280, or through Lincoln, Faye via phone (801) 325-0153.

Contact Information

Primary practice address
815 S 200 W Brigham City UT 84302-3333
Phone: (435) 723-5280
Fax: (435) 723-0579
Website:
Map and Directions
Authorized official contact:
Name: Lincoln, Faye
Phone: (801) 325-0153

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2004-NCF-76 Utah

Profile Details

NPI number 1588665236
LBN Legal business name Avalon Care Center - Brigham City, L.L.C.
DBA Doing business as Pioneer Care Center
Authorized official Lincoln, Faye
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 12th, 2016 - about 10 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 1588665236 NPPES
Utah MEDICAID 870530623008

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