Dallas Mennonite Retirement Community, Inc.

LBN: Dallas Mennonite Retirement Community, Inc.
Dallas Mennonite Retirement Community, Inc. is an health care organization with primary practice located at 377 Nw Jasper St , Dallas OR 97338-1279. 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. Dallas Mennonite Retirement Community, Inc. can be contacted via phone (503) 623-5581, or through Mcmullin, Gerald J. via phone (503) 623-3843.

Contact Information

Primary practice address
377 Nw Jasper St Dallas OR 97338-1279
Phone: (503) 623-5581
Fax: (503) 623-2901
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Gerald J.
Phone: (503) 623-3843

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 800268 Oregon

Profile Details

NPI number 1598749038
LBN Legal business name Dallas Mennonite Retirement Community, Inc.
DBA Doing business as
Authorized official Mcmullin, Gerald J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 28th, 2012 - about 14 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 1598749038 NPPES
Oregon MEDICAID 800268

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