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NORTHERN CROSS LLC NPI 1720111800


NPI Information

NPI: 1720111800
Provider Name: NORTHERN CROSS, LLC

Doing Business As: NORTHERN CROSS THERAPY

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
12121 NORTHUP WAY STE 203
BELLEVUE, WA
ZIP 98005
Phone: (425) 895-8436
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NORTHERN CROSS, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Bellevue, WA. NORTHERN CROSS, LLC NPI is 1720111800. The provider is registered as an organization entity type.
The provider Is Doing Business As Northern Cross Therapy.

The provider's business location address is:

12121 NORTHUP WAY STE 203
BELLEVUE, WA
ZIP 98005-929
Phone: (425) 895-8436
Fax: (425) 895-8110

The provider's authorized official is Rocco H Nelson .
The authorized official title is Administrator and has the following contact phone number (425) 895-8436.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/13/2009.


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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)602178492WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1504511MEDICARE OSCAR/CERTIFICATIONWASHINGTON

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: 11/14/2023

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