3C2MD, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

800230 Issued in OR

Legal business name

3C2MD, INC.

Doing business as

French Prairie Nursing and Rehabilitation Center

Practice address

601 Evergreen Rd
Woodburn, OR 97071-2910

Phone

(503) 982-0111

Fax

(503) 982-2481

NPI assigned

Jul 5, 2005

Organization subpart

Yes

Parent organization

PINNACLE HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Garber

Title

Chief Financial Officer

Phone

(541) 746-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• French Prairie Nursing and Rehabilitation Center Doing business as

Part of

Pinnacle Healthcare Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Healthcare, Inc.

  • Pediatric Skilled Nursing Facility
  • Springfield, OR
  • NPI 1649348236
  NPPES parent name

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1073510194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-746-1020",
            "fax_number": "541-284-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EVERGREEN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712910",
            "telephone_number": "503-982-0111",
            "fax_number": "503-982-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3C2MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, INC.",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-746-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800230",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "French Prairie Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.