Organization
EVERGREEN AT FOOTHILLS, L.L.C.
Active
Other names
Evergreen Foothills Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW V. MARTINI (MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(480) 759-0358
(480) 759-7666
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842965
—
AZ
Enumeration date
05/04/2006
Last updated
08/22/2020
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