# COLFAX OF CASCADIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548929987
- **Authorized official:** OWEN C HAMMOND (PRESIDENT)
- **Authorized official phone:** (208) 401-9600

## Contact information

- **Practice address:** 1150 W FAIRVIEW ST, COLFAX, WA 99111-9580
- **Practice address phone:** (208) 401-9600
- **Mailing address:** 408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
- **Mailing address phone:** (208) 401-9600

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 06/05/2023