Rim Country Rehabilitation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTC 4934 Issued in AZ

Legal business name

RIM COUNTRY REHABILITATION, INC.

Doing business as

Rim Country Health

Practice address

807 W Longhorn Rd
Payson, AZ 85541-4263

Phone

(928) 474-1120

Fax

(928) 474-0505

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By 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

Mr. Russell Goddard

Title

Administrator

Phone

(928) 474-1120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rim Country Health Doing business as

Tax ID family

Rim Country Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rim Country Rehab, Inc

  dba Rim Country Health & Retirement Community

  • Skilled Nursing Facility
  • Payson, AZ
  • NPI 1578568267
  NPD tax ID

Locations

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1750662284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W LONGHORN RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414263",
            "telephone_number": "928-474-1120",
            "fax_number": "928-474-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W LONGHORN RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414263",
            "telephone_number": "928-474-1120",
            "fax_number": "928-474-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIM COUNTRY REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-474-1120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "OTC 4934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341077",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rim Country Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaylee Renner, DO
• Christopher Ugochukwu Ugorji Rex, M.D.
• Tamara Rike
• Rim Country Anesthesia Services PC
• Rim Country Rehab, Inc (Rim Country Health & Retirement Community)
• Rim Country Sports Medicine and Orthopedic Surgery
• Robert Rimmer Jr., MD
• Risser Eye Clinic, LLC
• Robert T Evans D P M PLC
• Rocky Mountain Holdings, LLC (Native Air)

• Skilled Nursing Facility in Payson, AZ
• Providers in Payson, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.