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Mason Park Healthcare, Inc.

NPI 1487453494ActiveOrganization· Skilled Nursing Facility· Coeur D Alene, ID

Skilled Nursing Facility in Coeur D Alene, Idaho, registered in NPPES in March 2025. The authorized official on file is Soon Burnam, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1487453494
StatusActive
Entity typeOrganization
NPI issuedMar 11, 2025
Last updated in NPPESMay 27, 2025
Certified by providerMay 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (ID)

Medicare sources and data years

Other Skilled Nursing Facility providers in Coeur D Alene

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