Eagle Healthcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH 1303 Issued in WA

Legal business name

EAGLE HEALTHCARE, INC

Doing business as

Pinewood Terrace Nursing Center

Practice address

1000 E. Elep Ave.
Colville, WA 99114-0559

Phone

(509) 684-2573

NPI assigned

Sep 5, 2006

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

EAGLE HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Greg Schmidt

Title

Controller

Phone

(425) 285-3891

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PINEWOOD TERRACE NURSING CENTER Doing business as

Part of

Eagle Assisted Living

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1265534622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 115TH AVE NE # E195",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346940",
            "telephone_number": "425-285-3891",
            "fax_number": "425-285-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. ELEP AVE.",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991140559",
            "telephone_number": "509-684-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTHCARE, INC",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "425-285-3891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH 1303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113031",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEWOOD TERRACE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Driggs
• Rebecca Ann Droter, RN
• Skyler Dumas, D.C.
• Jennifer Louise Dunlap, MPT
• Marlee D Duran
• Kathryn E Eaton, RC
• Sarah Ann Eberle
• Violet L Eberly, PT, DPT
• Peter G Edminster, MD
• Tanuja Marion Edvalson, M.D.

• Skilled Nursing Facility in Colville, WA
• Providers in Colville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.