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TEKOA CARE CENTER
NPI 1689650756
Nursing Facility/Intermediate Care Facility in Tekoa, WA

Active since December 20, 2005CLIA 50D0661574 · Waiver
330 N MADISON ST, TEKOA, WA 99033(509) 284-4501(509) 286-3737 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tekoa Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEKOA CARE CENTER (NPI 1689650756) is a healthcare organization registered as a nursing facility/intermediate care facility in Tekoa, Washington and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dorothy Irene Fletcher, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689650756
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameTEKOA MEDICAL FOUNDATION INC
Location Address330 N MADISON STTekoa, WA 99033-9772
Mailing Address330 N Madison StTekoa, WA 99033-9772 · (509) 284-4501 · Fax (509) 286-3737
Phone(509) 284-4501
Fax(509) 286-3737
Organization SubpartNo
Authorized OfficialDorothy Irene FletcherAdministrator · (509) 284-4501
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689650756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in WA · NH597
Definition
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.
330 N MADISON ST, Tekoa, WA 99033
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Other Names 1

Doing Business AsTekoa Care Center

Other Identifiers 1

Medicaid4159703WA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0661574

Tekoa Care Center · Tekoa, WA
Active · expires Apr 4, 2028
CLIA Number50D0661574
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 2, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAsher Davison
Laboratory Phone(509) 284-4501
Laboratory LocationTekoa Care Center330 N Madison St, Tekoa, WA 99033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEKOA OPERATIONS LLC TEKOA CARE CENTER
Skilled Nursing Facility
330 N MADISON ST
TEKOA, WA 99033
Whitman County (707) 326-0623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tekoa Medical Foundation Inc's NPI number?

The NPI number for Tekoa Medical Foundation Inc is 1689650756. It was assigned to this organization in the NPPES registry on December 20, 2005. The provider is doing business as Tekoa Care Center.

Where is Tekoa Medical Foundation Inc located?

Tekoa Medical Foundation Inc is located at 330 N Madison St, Tekoa, WA 99033. The listed phone number is (509) 284-4501.

What is Tekoa Medical Foundation Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Tekoa Medical Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0661574) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tekoa Medical Foundation Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.