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MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC NPI 1275721268


NPI Information

NPI: 1275721268
Provider Name: MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC

Doing Business As: MAPLE RIDGE ASSISTED LIVING COMMUNITY

Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization

CLIA Number: 50D2254857

Address:
3220 STATE ST
SUITE 200
SALEM, OR
ZIP 97301
Phone: (503) 566-5715
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MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC is an exclusive provider organization in Salem, OR. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC NPI is 1275721268. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Ridge Assisted Living Community.

The provider's business location address is:

3220 STATE ST
SUITE 200
SALEM, OR
ZIP 97301-872
Phone: (503) 566-5715
Fax: (503) 588-3531

The provider's authorized official is Kelley D Hamilton .
The authorized official title is Ceo And President Of Manager and has the following contact phone number (503) 566-5715.

The CLIA number assigned to this NPI record is 50D2254857 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302F00000XExclusive Provider Organization1966WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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