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Contact Information

CLEARWATER HEALTHCARE LLC
1204 SHRIVER RD
OROFINO, ID83544-9033
 Phone: 208-476-4568
 Fax: 208-476-3614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for CLEARWATER HEALTHCARE LLC

NPI Number 1386681781
LBN Legal business name CLEARWATER HEALTHCARE LLC
Authorized official KENNETH SHULL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 09/08/2016 - About 10 years ago
Identifiers
ID License # 36
ID Medicaid 1386681781
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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