Northwoods Lodge

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

505484 Issued in WA

Legal business name

NORTHWOODS LODGE

Practice address

2321 NW Schold PL
Silverdale, WA 98383-9504

Phone

(360) 337-7422

Fax

(360) 698-7488

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Lori Durham

Title

Billing Manager

Phone

(360) 337-7422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1285864827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 SCHOLD PLACE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-337-7422",
            "fax_number": "360-698-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NW SCHOLD PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839504",
            "telephone_number": "360-337-7422",
            "fax_number": "360-698-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-337-7422"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "505484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Noel
• Matthew Nolen, IDC
• Maggie Lyn Norling, DVM
• Northwest Home Medical Inc
• Northwest Medical Allies PLLC
• Benjamin M Norton, PAC
• Alena Nozawa
• Nurani, Mitchell, Kim, PC
• Judiith Marie O'Brien, M.S., CCC-SLP
• Mark Edward O'Donnell, IDC

• Skilled Nursing Facility in Silverdale, WA
• Providers in Silverdale, 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 Jul 16, 2009; 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.