Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
Payette Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
1019 3RD AVE S, PAYETTE, ID 83661-2832
(208) 642-4455
Mailing address
1019 3RD AVE S, PAYETTE, ID 83661-2832
(208) 642-4455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
24
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010013110
REGENCE BLUE SHIELD OF ID
ID
01
—
01156
BLUE CROSS OF IDAHO
ID
05
—
8041298
—
ID
Enumeration date
05/27/2006
Last updated
03/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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