Tekoa Medical Foundation Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH597 Issued in WA

Legal business name

TEKOA MEDICAL FOUNDATION INC

Doing business as

Tekoa Care Center

Practice address

330 N Madison St
Tekoa, WA 99033-9772

Phone

(509) 284-4501

Fax

(509) 286-3737

NPI assigned

Dec 20, 2005

Last updated

Aug 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

Mrs. Dorothy Irene Fletcher, RN NHA

Title

Administrator

Phone

(509) 284-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tekoa Care Center Doing business as

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689650756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MADISON ST",
            "city": "TEKOA",
            "state": "WA",
            "postal_code": "990339772",
            "telephone_number": "509-284-4501",
            "fax_number": "509-286-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MADISON ST",
            "city": "TEKOA",
            "state": "WA",
            "postal_code": "990339772",
            "telephone_number": "509-284-4501",
            "fax_number": "509-286-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKOA MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-284-4501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "NH597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4159703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tekoa Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Osborne
• Peter J Martin (Tekoa Rural Health Clinic)
• Peter J. Martin (Tekoa Medical Clinic)
• Patricia L Primmer
• Tekoa Community Ambulance
• Tekoa Operations LLC Tekoa Care Center (Tekoa Care Center)
• Tekoa RX LLC (Tekoa Pharmacy)
• Tekoa School District

• Nursing Facility/Intermediate Care Facility in Tekoa, WA
• Providers in Tekoa, WA by specialty
• Nursing Facility/Intermediate Care Facility in Washington

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