Northwest Bec Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

27 Issued in ID

Legal business name

NORTHWEST BEC CORP

Doing business as

Snake River Rehab

Practice address

820 Sprague Ave
Buhl, ID 83316-1827

Phone

(208) 543-6401

Fax

(208) 543-4221

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Rebecca Louise Adamson

Title

Ar Specialist

Phone

(208) 221-6828

Specialties & licenses 1

Addresses

Other names 1

• Snake River Rehab Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063592293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4837",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054837",
            "telephone_number": "208-637-0999",
            "fax_number": "208-637-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SPRAGUE AVE",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161827",
            "telephone_number": "208-543-6401",
            "fax_number": "208-543-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "208-221-6828",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snake River Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Anne Nebeker, RN
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• John H Osterkamp, DDS
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• Theresa Pollard
• Lisa Catherine Reeves, LCSW, MA
• Shaylyn Garn Richards, PHARMD

• Skilled Nursing Facility in Buhl, ID
• Providers in Buhl, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.