Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
River Ridge Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
640 FILER AVE W, TWIN FALLS, ID 83301-4533
(208) 734-8645
(208) 734-4645
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
32
ID
314000000X
Skilled Nursing Facility
Primary
32
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010013057
BLUE SHIELD OF IDAHO
ID
05
—
0029215
—
ID
01
—
01305
BLUE CROSS OF IDAHO
ID
01
—
8750370802
AMERICAN PIONEER
ID
Enumeration date
05/26/2006
Last updated
01/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us