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Contact Information

STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
1301 ORTING/KAPOWSIN HWY
ORTING, WA98360
 Phone: 360-893-4500
 Fax: 360-893-4590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for STATE OF WASHINGTON WASHINGTON SOLDIERS HOME

NPI Number 1972594810
LBN Legal business name STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Authorized official TERRANCE WESTHOFF - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2005
Last updated 09/28/2020 - About 6 years ago
Identifiers
WA License # N/A
WA Medicaid 4000014
WA Medicaid 400014
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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