Waterford At Three Fountains

LBN: Touchmark Living Centers, Inc
Waterford At Three Fountains is an health care organization with primary practice located at 835 Crater Lake Ave , Medford OR 97504-6505. 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. Touchmark Living Centers, Inc can be contacted via phone (541) 773-7717, or through Pryor, Brian E via phone (503) 646-5186.

Contact Information

Primary practice address
835 Crater Lake Ave Medford OR 97504-6505
Fax: (541) 857-5139
Website:
Authorized official contact:
Name: Pryor, Brian E

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 385126 Oregon

Profile Details

NPI number 1548205354
LBN Legal business name Touchmark Living Centers, Inc
DBA Doing business as Waterford At Three Fountains
Authorized official Pryor, Brian E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
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 1548205354 NPPES
Oregon MEDICAID 800545

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