TEKOA CARE CENTER
NPI 1689650756
Nursing Facility/Intermediate Care Facility in Tekoa, WA
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 50D0661574
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-04-2028
About TEKOA CARE CENTER
This page provides the complete NPI Profile along with additional information for Tekoa Care Center, a provider established in Tekoa, Washington operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1689650756 assigned on December 2005. The practitioner's primary taxonomy code is 313M00000X with license number NH597 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Tekoa Care Center. The authorized official of this NPI record is Mrs. Dorothy Irene Fletcher Rn Nha (Administrator)
- NPI
- 1689650756 Verify this NPI
- Provider Legal Name
- TEKOA MEDICAL FOUNDATION INC
- Other Organization Name
- TEKOA CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 330 N MADISON ST TEKOA, WA 99033
- Location Phone
- (509) 284-4501
- Location Fax
- (509) 286-3737
- Mailing Address
- 330 N MADISON ST TEKOA, WA 99033
- Mailing Phone
- (509) 284-4501
- Mailing Fax
- (509) 286-3737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- NH597
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4159703 | MEDICAID (05) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0661574
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 02, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ASHER DAVISON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tekoa Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689650756, enumerated as an "organization" on December 20, 2005.
The provider is located at 330 N MADISON ST TEKOA, WA 99033 and the phone number is (509) 284-4501.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
