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Contact Information

SUNBRIDGE SALEM HEALTH CARE LLC
255 SUNBRIDGE DR
SALEM, WV26426-8400
 Phone: 304-782-3000
 Fax: 304-782-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SUNBRIDGE SALEM HEALTH CARE LLC

NPI # 1669429197
LBN Legal business name SUNBRIDGE SALEM HEALTH CARE LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/30/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
WV License # 95
WV Medicaid 0004029000
WV Other 000324428 BCBS
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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