Evergreen Healthcare Center

LBN: Evergreen Healthcare Center
Evergreen Healthcare Center is an health care organization with primary practice located at 406 E 7Th St , Burkburnett TX 76354-2017. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Evergreen Healthcare Center can be contacted via phone (940) 569-2236, or through White, Michele Rene via phone (940) 704-6682.

Contact Information

Primary practice address
406 E 7Th St Burkburnett TX 76354-2017
Phone: (940) 569-2236
Fax: (940) 569-1299
Website:
Map and Directions
Authorized official contact:
Name: White, Michele Rene Licensed Visiting Nurse (LVN)
Phone: (940) 704-6682

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1588652051
LBN Legal business name Evergreen Healthcare Center
DBA Doing business as
Authorized official White, Michele Rene Licensed Visiting Nurse (LVN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1588652051 NPPES
Texas MEDICAID 004413

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