Willow Creek Healthcare Center

LBN: Willow Creek Healthcare Center, Llc
Willow Creek Healthcare Center is an health care organization with primary practice located at 650 W Alluvial Ave , Clovis CA 93611-6716. 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. Willow Creek Healthcare Center, Llc can be contacted via phone (559) 323-6200, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
650 W Alluvial Ave Clovis CA 93611-6716
Phone: (559) 323-6200
Fax: (559) 323-4665
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 040000418 California

Profile Details

NPI number 1003861089
LBN Legal business name Willow Creek Healthcare Center, Llc
DBA Doing business as Willow Creek Healthcare Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2006
Last updated Feb 1st, 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 1003861089 NPPES
California MEDICAID LTC55652G

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