FOREST GROVE HEALTHCARE LLC NPI 1699207324

NPI Information

NPI: 1699207324
Provider Name: FOREST GROVE HEALTHCARE, LLC

Other Name: MELINDA A. SANFILIPPO

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
356 SE 9TH AVE
HILLSBORO, OR
ZIP 97123
Phone: (503) 433-7757
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FOREST GROVE HEALTHCARE, LLC is a health service clinic center in Hillsboro, OR. FOREST GROVE HEALTHCARE, LLC NPI is 1699207324. The provider is registered as an organization entity type.
The provider Other Name Is Melinda A. Sanfilippo.

The provider's business location address is:

356 SE 9TH AVE
HILLSBORO, OR
ZIP 97123-202
Phone: (503) 433-7757
Fax: (503) 433-7762

The provider's authorized official is Melinda Ann Sanfilippo .
The authorized official title is Ceo & Provider and has the following contact phone number (503) 433-7757.

The CLIA number assigned to this NPI record is 38D2233858 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 3/31/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	201708826NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type
1	R179267	MEDICARE PIN
2	R179267	MEDICARE OSCAR/CERTIFICATION
3	R179267	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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