MCH Enterprises, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

806604 Issued in OR

Legal business name

MCH ENTERPRISES, INC.

Doing business as

Corvallis Manor Nursing & Rehabilitation Center

Practice address

160 NE Conifer Blvd
Corvallis, OR 97330-4162

Phone

(541) 757-1651

Fax

(541) 757-1662

NPI assigned

Jul 5, 2005

Last updated

Feb 23, 2015By the provider in NPPES

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 Samuel Garber

Title

Chief Financial Officer

Phone

(541) 746-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corvallis Manor Nursing & Rehabilitation Center Doing business as

Part of

Pinnacle Healthcare Inc

Locations

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": "1659378776",
    "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": "160 NE CONIFER BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304162",
            "telephone_number": "541-757-1651",
            "fax_number": "541-757-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH ENTERPRISES, 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_middle_name": "SAMUEL",
        "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": "806604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806604",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvallis Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrice McGowan, M.D.
• David Michael McGrath, MD
• J. Michael McGrath
• Darcy McGuffin
• Patrick Owen McGuffin
• Brittany Hope McHaffie
• Mark Randall McIntire, M.S.W.
• Emily McKalip, PA-C
• Matthew McKay
• Mary Christine McKee, M.D.

• Skilled Nursing Facility in Corvallis, OR
• Providers in Corvallis, 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.