Edgewood Spring Creek Eagle, Llc
Assisted Living Facility
About Edgewood Spring Creek Eagle, Llc
Edgewood Spring Creek Eagle, Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1003191149. The authorized official for Edgewood Spring Creek Eagle, Llc is JOHN DYBWAD.
The organization is headquartered at 653 N EAGLE RD, Eagle, Idaho 83616. The main office can be reached at (208) 938-5578. Edgewood Spring Creek Eagle, Llc has been NPI-registered since 2011.
Locations & Contact
Primary Location
- Address
- 653 N EAGLE RD
- City
- Eagle
- State
- Idaho
- ZIP
- 83616-6921
- Phone
- (208) 938-5578
- Fax
- (208) 938-1589
Authorized Official
- Name
- JOHN DYBWAD
Mailing Address
- Address
- PO BOX 13238
- City
- GRAND FORKS
- State
- ND
- ZIP
- 58208
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Assisted Living Facility
- Classification
- Assisted Living Facility
- Taxonomy Code
- 310400000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Edgewood Spring Creek Eagle, Llc's NPI number?
What does Edgewood Spring Creek Eagle, Llc specialize in?
Where is Edgewood Spring Creek Eagle, Llc located?
Does Edgewood Spring Creek Eagle, Llc accept Medicare?
Does Edgewood Spring Creek Eagle, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Edgewood Spring Creek Eagle, Llc holds NPI 1003191149, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.