# 800 MEDCALF LANE NORTH OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montesano Health-Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386028397
- **Authorized official:** MICHAEL T BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 800 N MEDCALF LN, MONTESANO, WA 98563-1318
- **Practice address phone:** (360) 249-2273
- **Practice address fax:** (360) 249-2363
- **Mailing address:** 800 N MEDCALF LN, MONTESANO, WA 98563-1318
- **Mailing address phone:** (360) 249-2273
- **Mailing address fax:** (360) 249-2363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | WA | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 03/28/2025