Buena Vista Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH 1244 Issued in WA

Legal business name

BUENA VISTA INC

Practice address

151 Buena Vista Dr
Colville, WA 99114-8676

Phone

(509) 684-4539

Fax

(509) 685-0582

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Lorri Carter

Title

Administrator

Phone

(509) 684-4539

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1487651121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BUENA VISTA DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991148676",
            "telephone_number": "509-684-4539",
            "fax_number": "509-684-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUENA VISTA DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991148676",
            "telephone_number": "509-684-4539",
            "fax_number": "509-685-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LORRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-684-4539"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1023",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH 1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112447",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSPS#",
            "identifier": "127682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Lee Brown, DDS
• Holly Buche
• Sharon Ann Buchta
• Thomas Bucklew, P.T.
• Buena Vista Alf Operations, LLC
• Buena Vista SNF Operations, LLC
• Dorothy Lorraine Bumatay
• Berneal E. Bundy, RN CRNFA
• Julie A Burkey
• Megan Burkley

• 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 Mar 11, 2014; 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.