NORTHERN CROSS, LLC; NPI #1720111800

Contact Information

NORTHERN CROSS, LLC

12121 NORTHUP WAY STE 203
BELLEVUE, WA 98005-1929

Phone: 425-895-8436
Fax: 425-895-8110
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for NORTHERN CROSS, LLC

NPI # 1720111800

LBN Legal business name NORTHERN CROSS, LLC

Authorized official ROCCO NELSON - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2007

Last updated 07/13/2009 - About 17 years ago

Identifiers

License #

602178492

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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