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Contact Information

OAK CREEK REHABILITATION CENTER OF KIMBERLY LLC
500 POLK ST E
KIMBERLY, ID83341-1618
 Phone: 208-423-5591
 Fax: 208-423-5651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for OAK CREEK REHABILITATION CENTER OF KIMBERLY LLC

NPI Number 1194031286
LBN Legal business name OAK CREEK REHABILITATION CENTER OF KIMBERLY LLC
Authorized official JAMES EVERTON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2010
Last updated 08/26/2010 - About 16 years ago
Identifiers
ID License # 17
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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