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NPI · 1104811207 · NPPES-sourced

Evergreen Washington Healthcare Frontier, L.L.C.

ActiveSkilled Nursing Facility
NPI Number
1104811207
Type 2 · Organisation
Taxonomy Code
314000000X
Contact
(360) 423-8800
License WA · 1225
Last Updated
Enumerated
Primary practice addressWA · 98632-8632
1500 3rd AveLongview, WA 98632-8632
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About this NPIWhat this record shows.

NPI 1104811207 is registered to Evergreen Washington Healthcare Frontier, L.L.C., a healthcare organisation classified as "Skilled Nursing Facility" and located at 1500 3rd Ave in Longview, Washington. The organisation's authorised official is Brent Weil. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1225WA· Issued by STATE NH#

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Evergreen Washington Healthcare Frontier, L.L.C. accepts. To confirm in-network status with your specific health plan, contact Evergreen Washington Healthcare Frontier, L.L.C. directly at (360) 423-8800.

Frequently asked

Yes. NPI 1104811207 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Skilled Nursing Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 423-8800.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Evergreen Washington Healthcare Frontier, L.L.C. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy314000000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Skilled Nursing Facility providers in Washington.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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