# EMPRES AT COLVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMPRES WASHINGTON HEALTHCARE, LLC
- **Other names:** Buena Vista Healthcare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477950954
- **Legal business name:** EMPRES WASHINGTON HEALTHCARE, LLC
- **Authorized official:** BRENT WEIL (CEO AND MANAGER)
- **Authorized official phone:** (360) 892-6628

## Contact information

- **Practice address:** 151 BUENA VISTA DR, COLVILLE, WA 99114-8676
- **Practice address phone:** (509) 684-4539
- **Practice address fax:** (509) 685-0582
- **Mailing address:** 4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6736
- **Mailing address phone:** (360) 892-6628
- **Mailing address fax:** (360) 816-1586

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 01/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | WA |