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NPI Code Detail

MEDICARE: RITZVILLE MEDICAL INVESTORS LLC

MEDICARE: RITZVILLE MEDICAL INVESTORS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1384WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700872066
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITZVILLE MEDICAL INVESTORS LLC
Provider Business Mailing Address
First Line : 3001 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3713
Country : US
Telephone Number : 423-473-5751
Fax Number : 423-339-8342
Provider Business Practice Location Address
First Line : 506 S JACKSON ST
Second Line :
City : RITZVILLE
State : WA
Zip : 99169-2106
Country : US
Telephone Number : 509-659-1600
Fax Number : 509-659-1317
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MS. CINDY CROSS
Credential :
Telephone Number : 423-473-5867
Provider Enumeration Date : 09/22/2005
Last Update Date : 02/12/2008

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Directions to “RITZVILLE MEDICAL INVESTORS LLC ” Practice Location

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