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DSHS/DDA/FIRCREST SCHOOL NPI 1750065827


NPI Information

NPI: 1750065827
Provider Name: DSHS/DDA/FIRCREST SCHOOL
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
15230 15TH AVE NE
SHORELINE, WA
ZIP 98155
Phone: (206) 361-3087
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DSHS/DDA/FIRCREST SCHOOL is a nursing facility intermediate care facility in Shoreline, WA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. DSHS/DDA/FIRCREST SCHOOL NPI is 1750065827. The provider is registered as an organization entity type.

The provider's business location address is:

15230 15TH AVE NE
SHORELINE, WA
ZIP 98155-130
Phone: (206) 361-3087

The provider's authorized official is Donald Robert Milligan .
The authorized official title is Medical Director and has the following contact phone number (206) 361-3087.

The enumeration date for this NPI number is 6/9/2023 and was last updated on 6/9/2023.


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
1313M00000XNursing Facility/Intermediate Care FacilityYes

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

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