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Contact Information

STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
1301 ORTING-KAPOWSIN HIGHWAY
ORTING, WA98360
 Phone: 360-725-4506
 Fax: 360-893-4590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STATE OF WASHINGTON WASHINGTON SOLDIERS HOME

NPI Number 1174648604
LBN Legal business name STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Authorized official MICHEAL KASHMAR - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 08/28/2018 - About 8 years ago
Identifiers
WA Medicaid 400014
WA Medicaid 7130479
WA Other 4924785 NCPDP
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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