Menlo Park Healthcare

LBN: Eagle Healthcare, Inc
Menlo Park Healthcare is an health care organization with primary practice located at 745 Ne 122Nd Ave , Portland OR 97230-2001. 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. Eagle Healthcare, Inc can be contacted via phone (503) 252-0241, or through Schmidt, Greg via phone (425) 285-3891.

Contact Information

Primary practice address
745 Ne 122Nd Ave Portland OR 97230-2001
Phone: (503) 252-0241
Fax: (503) 257-9091
Website:
Map and Directions
Authorized official contact:
Name: Schmidt, Greg
Phone: (425) 285-3891

Health care specialties

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

Profile Details

NPI number 1659470193
LBN Legal business name Eagle Healthcare, Inc
DBA Doing business as Menlo Park Healthcare
Authorized official Schmidt, Greg
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2006
Last updated Dec 10th, 2008 - about 18 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 1659470193 NPPES
Oregon MEDICAID 800033

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