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NPI Code Detail

MEDICARE: WOODLAND SPRINGS NURSING CENTER INC

MEDICARE: WOODLAND SPRINGS NURSING CENTER 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
1313M00000XNursing Facility/Intermediate Care Facility114176TX

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 : 1750376273
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODLAND SPRINGS NURSING CENTER INC
Provider Business Mailing Address
First Line : 200 W HIGHWAY 6
Second Line : SUITE 509
City : WACO
State : TX
Zip : 76712-7923
Country : US
Telephone Number : 254-399-6788
Fax Number : 254-399-6766
Provider Business Practice Location Address
First Line : 1405 W STOREY ST
Second Line :
City : SAN SABA
State : TX
Zip : 76877-6422
Country : US
Telephone Number : 254-372-5112
Fax Number : 254-372-5114
Authorized Official
Title or Position : ADMINISTRATOR
Name : MICHAEL JAY BUMPASS
Credential : LNHA
Telephone Number : 254-399-6788
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/06/2009

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