DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CARE CENTER HAZEL DELL INC

MEDICARE: CARE CENTER HAZEL DELL INC
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 Facility1353WA

Other Identifiers

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

General Provider Information

NPI Number : 1578559894
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE CENTER HAZEL DELL INC
Provider Business Mailing Address
First Line : 7700 NE PARKWAY DR
Second Line : SUITE 300
City : VANCOUVER
State : WA
Zip : 98662-6648
Country : US
Telephone Number : 360-735-7155
Fax Number : 360-735-9416
Provider Business Practice Location Address
First Line : 5220 NE HAZEL DELL AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-1242
Country : US
Telephone Number : 360-693-1474
Fax Number : 360-694-7470
Authorized Official
Title or Position : EXEC VP OF FINANCE
Name : GREGORY J VISLOCKY
Credential :
Telephone Number : 360-735-7155
Provider Enumeration Date : 09/22/2005
Last Update Date : 01/28/2011

Similar Medicare Providers

1164480638 — DR. LESLIE SMITH PHD
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-693-1474
Practice Fax: 360-694-7470
1356555734 — MRS. DAYNA L BAILEY MS CCC SLP
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-314-1719
Practice Fax: 360-696-2094
1043408909 — MS. SHERRY ANNE CHAMPION P.T.
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-693-1474
Practice Fax:
1528474806 — DR. MATTHEW DAVID VAN AUKEN M.D., M.P.H.
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-693-1474
Practice Fax:
1043605322 — ERICA KIRKWOOD
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-693-1474
Practice Fax:
1790207439 — MELISSA COHEN DPT
Practice Location Address:
5220 NE HAZEL DELL AVE
VANCOUVER, WA
98663-1242
Practice Phone: 360-693-1474
Practice Fax: 360-693-1474

Directions to “CARE CENTER HAZEL DELL INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.