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Contact Information

SHAW MOUNTAIN OF CASCADIA, LLC
909 E RESERVE ST
BOISE, ID83712-6508
 Phone: 208-343-7717
 Fax: 208-692-9909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for SHAW MOUNTAIN OF CASCADIA, LLC

NPI Number 1700245594
LBN Legal business name SHAW MOUNTAIN OF CASCADIA, LLC
Authorized official OWEN HAMMOND - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2016
Last updated 01/23/2024 - About 2 years ago
Identifiers n/a
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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