Organization
RED MOUNTAIN FIELD CASE MANAGEMENT LLC
Active
Organization
RED MOUNTAIN FIELD CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN M. TABER RN, CCM (PRESIDENT/RN CERTIFIED CASE MANAGER)
(509) 851-8707
Entity
Organization
Contact information
Practice address
51621 DEMOSS RD, BENTON CITY, WA 99320
(509) 851-8707
(509) 588-3532
Mailing address
51621 DEMOSS RD, BENTON CITY, WA 99320
(509) 851-8707
(509) 588-3532
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
00090060
WA
171M00000X
Case Manager/Care Coordinator
RN00110622
WA
251B00000X
Case Management Agency
Primary
00090060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263853
DEPT OF LABOR INDUSTRIES
WA
Enumeration date
12/02/2010
Last updated
12/02/2010
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