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Contact Information

ADVANCED HEALTH CARE CORPORATION
410 E NORTH 2ND ST
GRANGEVILLE, ID83530-2258
 Phone: 208-983-1131
 Fax: 208-983-9140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for ADVANCED HEALTH CARE CORPORATION

NPI # 1528099744
LBN Legal business name ADVANCED HEALTH CARE CORPORATION
Authorized official DAVID NATTRESS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/05/2006
Last updated 07/13/2021 - About 5 years ago
Identifiers
ID Medicaid 805967300
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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