Blue Heron Skilled Nursing Services

LBN: Blue Heron Skilled Nursing Services
Blue Heron Skilled Nursing Services is an health care organization with primary practice located at 165 Moon Valley Dr , Quilcene WA 98376-0411. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is the primary health care specialty. Blue Heron Skilled Nursing Services can be contacted via phone (360) 301-0478, or through Gunther, Evelyn L via phone (360) 774-1988.

Contact Information

Primary practice address
165 Moon Valley Dr Quilcene WA 98376-0411
Phone: (360) 301-0478
Fax: (360) 765-3241
Website:
Map and Directions
Authorized official contact:
Name: Gunther, Evelyn L Registered Nurse (RN)
Phone: (360) 774-1988

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00058765 Washington
Nursing Service Providers / Community Health 163WC1500X RN00046933 Washington
Nursing Service Providers / Community Health 163WC1500X RN00058765 Washington
Nursing Service Providers / Home Health 163WH0200X RN00058765 Washington

Profile Details

NPI number 1205179256
LBN Legal business name Blue Heron Skilled Nursing Services
DBA Doing business as
Authorized official Gunther, Evelyn L Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2013
Last updated Jan 20th, 2015 - about 11 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 1205179256 NPPES
Washington Other 322665 PROVIDER NUMBER

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