MCP Birchview Wa Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MCP BIRCHVIEW WA OPCO LLC

Practice address

925 Dunlop St
Sedro Woolley, WA 98284-1962

Phone

(360) 856-1911

NPI assigned

Jun 22, 2020

Last updated

Jun 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

Michael Graham

Title

President

Phone

(214) 443-8329

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk D Sherris, DPM

  • Foot & Ankle Surgery Podiatrist
  • Poulsbo, WA
  • NPI 1710073879
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1184240517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DUNLOP ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841962",
            "telephone_number": "360-856-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCP BIRCHVIEW WA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-443-8329"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mae McKinney
• Stefanie M McKinnon
• Mary Jeanne McMillan-Olson, R.D., C.D.E
• Lorraine McMillen
• Randa Lynn McNear
• Christinia Jean McWethy, CDPT
• Morgan F Merrill, MD
• Saralyn Merriman, RN
• Emily Gean Meyer, MA
• Eric Millegan

• Assisted Living Facility in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Assisted Living Facility in Washington

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