Organization
SUNBRIDGE PUTNAM HEALTH CARE LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Putnam Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 821-3355
Entity
Organization
Contact information
Practice address
300 SEVILLE RD, HURRICANE, WV 25526-9206
(304) 757-6805
(304) 757-3803
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
313M00000X
Nursing Facility/Intermediate Care Facility
91
WV
314000000X
Skilled Nursing Facility
Primary
91
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#000324427
BCBS
WV
05
—
0003982000
—
WV
Enumeration date
05/30/2006
Last updated
08/17/2018
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