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Contact Information

COMMUNITY CARE CENTER OF SALEM, INC.
35625 HWY 72
SALEM, MO65560
 Phone: 573-729-6141
 Fax: 573-729-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for COMMUNITY CARE CENTER OF SALEM, INC.

NPI Number 1588661045
LBN Legal business name COMMUNITY CARE CENTER OF SALEM, INC.
Authorized official CHRISTINA GIARDINA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2005
Last updated 03/04/2021 - About 5 years ago
Identifiers
MO License # 03210
MO Medicaid 101453405
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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