NORTHWEST COUNTRY PLACE, INC (NPI# 1245227131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245227131 |
| Entity Type | Organization |
| Organization Name | NORTHWEST COUNTRY PLACE, INC |
| Other Organization Name | LIBERTY COUNTRY PLACE (Doing Business As Name) |
| Practice Address | 917 S Scheuber Rd Centralia WA 98531-9027 |
| Practice Telephone | 3607369384 |
| Practice Fax Number | 3607366284 |
| Mailing Address | 917 S Scheuber Rd Centralia WA 98531-9027 |
| Mailing Telephone | 3607369384 |
| Mailing Fax Number | 3607366284 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-06-13 |
| Authorized Official Telephone | 3607369384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH1138 | WA | Nursing & Custodial Care Facilities |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 4111381 | WA | MEDICAID |
| Other Name | Type Code |
|---|---|
| Liberty Country Place | Doing Business As Name |
| Street Address | 917 S SCHEUBER RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003340258 | Jennalyn Burke | Speech-Language Pathologist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2017-04-14 |
| 1720691561 | Paige Wetherbee | Dietitian, Registered | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-08-30 |
| 1609488907 | Japrice Michele Tibbetts | Physical Therapy Assistant | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-08-18 |
| 1124639794 | Britney Marie Benoit | Physical Therapy Assistant | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-08-16 |
| 1841827722 | Monica Fouts | Occupational Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-03-23 |
| 1841710514 | Elise Michelle | Physical Therapy Assistant | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2017-06-23 |
| 1477000768 | Matthew Noble | Occupational Therapy Assistant | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2016-09-05 |
| 1457805343 | Jacqueline Anne Levet | Speech-Language Pathologist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2016-08-08 |
| 1871046789 | Krista Poppe | Occupational Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2016-07-27 |
| 1679930085 | Michael Tuason | Physical Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2016-01-15 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699108142 | California Advanced Imaging Medical Assoc, Inc. | Radiology · Diagnostic Radiology | 910 S Scheuber Rd, Centralia, WA 98531-9027 | 2013-08-19 |
| 1013255090 | William Alexander Stevens | Family Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2013-01-24 |
| 1326219536 | Brian Covington | Physician Assistant | 914 S. Scheuber Road, Centralia, WA 98531-9027 | 2008-03-14 |
| 1528267804 | Providence Health & Services - Washington · Providence Imaging Center | Clinic/Center · Radiology, Mammography | 908 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-07-16 |
| 1114542065 | Gary John Clinton Mersereau Sr. | Registered Nurse · Emergency | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-06-16 |
| 1366077745 | Andrew J Maasdam | Nurse Anesthetist, Certified Registered | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-03-06 |
| 1447884374 | Michelle Stover | Registered Nurse | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-02-29 |
| 1932748993 | Erika Anne Laurentz | Counselor | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-12-22 |
| 1952942567 | Ashley Marie Wheeler | Emergency Medicine · Emergency Medical Services | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-10-04 |
| 1619537057 | Rebecca Kathryn Mcneil | Counselor · Mental Health | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-06-18 |
| Find all providers in zip 98531-9027 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor · Mental Health | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1013548429 | Michael Scott Elliot | Counselor | 3510 Steelhammer Lane, Centraila, WA 98531 | 2020-02-04 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor · Mental Health | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor · Addiction (Substance Use Disorder) | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1043681513 | Angela Naillon | Counselor · Mental Health | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| 1023494226 | Sarah Pedersen | Physician Assistant · Medical | 914 South Scheuber Rd, Centralia, WA 98531 | 2015-08-11 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
| 1346526134 | Fireside-Ltc, LLC · Fireside House of Centralia | 1030 Martin Luther King Dr, Centralia, IL 62801-3002 | 2011-10-25 | |
| 1568748317 | Friendship-Ltc, LLC · Friendship House of Centralia | 1000 Martin Luther King Dr, Centralia, IL 62801-3002 | 2011-10-25 | |
| 1962435941 | Ltc Illinois - Friendship, Inc. · Friendship House of Centralia | 1000 Martin Luther King, Centralia, IL 62801 | 2006-07-10 | |
| 1689660961 | Unlimited Development Inc. · Udi 8 Centralia Manor | 1910 E Mccord, Centralia, IL 62801-6586 | 2005-09-22 | |
| 1942295993 | Evergreen Washington Healthcare Centralia, L.L.C. · Evergreen Centralia Health and Rehabilitation Center | 1015 Long Rd, Centralia, WA 98531-1038 | 2005-09-15 | |
| 1154328953 | Health Services Administration, Inc · Heritage Hall Nursing Center | 750 E Highway 22, Centralia, MO 65240-1146 | 2005-07-07 | |
| 1861977019 | Hcc-Healthcare Properties, LLC | 1030 Martin Luther King Dr, Centralia, IL 62801-3002 | 2018-10-03 | |
| 1134632961 | Riverside Nursing - Centralia LLC · Riverside Nursing & Rehabilitation Center | 1305 Alexander St, Centralia, WA 98531-1305 | 2017-11-15 | |
| 1912305202 | Fmg Alexander Street Washington LLC · Riverside Nursing and Rehabilitation Center | 1305 Alexander St, Centralia, WA 98531-1305 | 2014-12-18 | |
| 1255743019 | Care Center Centralia Inc · Prestige Post-Acute and Rehabilitation Center - Liberty | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2014-05-28 | |
| Find all providers in CENTRALIA | ||||
| City | CENTRALIA |
| Zip Code | 98531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134163959 | Northwest Country Place · Oakwood Country Place | Skilled Nursing Facility | 421 S Evans St, Mcminnville, OR 97128-6111 | 2006-06-15 |
| 1497843080 | Northwest Country Place Inc · Oakwood Home Services | Home Health | 421 Se Evans St, Mcminnville, OR 97128-6111 | 2006-10-10 |
| 1205296779 | Country Place Medical Center LLC | Pain Medicine · Interventional Pain Medicine | 1920 Country Place Pkwy, Suite 340, Pearland, TX 77584-2282 | 2016-02-26 |
| 1396862066 | Country Place Chiropractic Health & Wellness | Chiropractor | 1801 Country Place Pkwy, 113, Pearland, TX 77584-5120 | 2007-03-26 |
| 1336409150 | Memorial Country Place Inc. | Public Health or Welfare | 783 Country Place Dr, Houston, TX 77079-5533 | 2012-05-26 |
| 1912312885 | Hill Country Compounding Pharmacy At Riverplace, LLC · Hill Country Apothecary - Riverplace | Pharmacy · Compounding Pharmacy | 6611 River Place Blvd # 103, Austin, TX 78730-1162 | 2014-06-30 |
| 1295826584 | Stand-Up Mri of Carle Place, P.C. | Radiology · Diagnostic Radiology | 31 Old Country Rd, Carle Place, NY 11514-1800 | 2006-09-28 |
| 1952882185 | Northwest Oral and Implant Surgery | Dentist · Oral and Maxillofacial Surgery | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2018-08-25 |
| 1417918772 | Northwest Center for Plastic Surgery, LLC | Clinic/Center · Ambulatory Surgical | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-03-28 |
| 1477833705 | Aging In Place | Home Health | 2351 W Northwest Hwy, Ste. 1201, Dallas, TX 75220-4433 | 2011-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.