Doctor Name: | GARLAND PERRY |
NPI Number: | 1063857217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5985 Trail Ave Ne Apt 202 Keizer, OR - 973037567 |
Business Phone Number: | 8046054999 |
Business Fax Number: | |
Mailing Address: | 5895 Ne Trail Ave, Apt 202 KEIZER |
State: | OR |
Postal Code: | 97303 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |