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Contact Information

EAGLE HEALTHCARE AT CAMAS
640 NE EVERETT
CAMAS, WA98607
 Phone: 360-834-5055
 Fax: 360-834-0504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for EAGLE HEALTHCARE AT CAMAS

NPI Number 1306931944
LBN Legal business name EAGLE HEALTHCARE AT CAMAS
Authorized official CURRAN WONG - (CORPORATE SERVICES)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2006
Last updated 08/08/2012 - About 14 years ago
Identifiers
WA License # 1159
WA Medicaid 4111597
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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