LINCOLN COUNTY HOSPITAL DISTRICT #3
Assisted Living Facility
Wilbur, Washington
Provider NPI: 1093825200
Organization Information:Organization Name: LINCOLN COUNTY HOSPITAL DISTRICT #3
Practice Location:
700 SE BRACE ST WILBUR, WA 99185 US
Tel: 509-647-2211 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
700 SE BRACE ST WILBUR, WA 99185 US
Tel: 509-647-2211 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | BH1103 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
645833 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin