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Contact Information

SUNBRIDGE HEALTHCARE LLC
640 FILER AVE W
TWIN FALLS, ID83301-4533
 Phone: 208-734-8645
 Fax: 208-734-4645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for SUNBRIDGE HEALTHCARE LLC

NPI # 1053367367
LBN Legal business name SUNBRIDGE HEALTHCARE LLC
Authorized official WILLIAM MATHIES - (PRESIDENT DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 01/08/2013 - About 13 years ago
Identifiers
ID License # 32
ID Medicaid 0029215
ID Other 8750370802 AARP GROUP HEALTH
ID Other 8750370802 AETNA LIFE INS CO
ID Other 8750370802 AMERICAN PIONEER
ID Other 8750370802 APWU HEALTH PLAN
ID Other 8750370802 BANKERS LIFE & CASUALTY
ID Other 8750370802 BC/BS OF MI
ID Other 8750370802 BC/BS OF MN
ID Other 8750370802 BC/BS OF UTAH
ID Other 8750370802 BLUE CROSS /BLUE SHIELD
ID Other 01305 BLUE CROSS OF IDAHO
ID Other 000010013057 BLUE SHIELD OF IDAHO
ID Other 8750370802 CHAMPUS
ID Other 8750370802 CIGNA
ID Other 8750370802 DESERET MUTUAL BENEFITS
ID Other 8750370802 DMBA/SE IDAHO EMP COALITI
ID Other 8750370802 EQUITABLE LIFE & CASUALTY
ID Other 8750370802 FARMER STOCKMAN
ID Other 8750370802 FEDERAL HOME LIFE INS
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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