Clearwater Health And Rehabilitation

LBN: Clearwater Healthcare Llc
Clearwater Health And Rehabilitation is an health care organization with primary practice located at 1204 Shriver Rd , Orofino ID 83544-9033. 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. Clearwater Healthcare Llc can be contacted via phone (208) 476-4568, or through Shull, Kenneth via phone (208) 476-4568.

Contact Information

Primary practice address
1204 Shriver Rd Orofino ID 83544-9033
Phone: (208) 476-4568
Fax: (208) 476-3614
Website:
Map and Directions
Authorized official contact:
Name: Shull, Kenneth
Phone: (208) 476-4568

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 36 Idaho

Profile Details

NPI number 1386681781
LBN Legal business name Clearwater Healthcare Llc
DBA Doing business as Clearwater Health And Rehabilitation
Authorized official Shull, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 8th, 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 1386681781 NPPES
Idaho MEDICAID 1386681781

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