Whidbey Island Manor, INC.
Skilled Nursing Facility in Oak Harbor, WA. Organization (NPI-2).
NPI number1063591998
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1063591998
- Entity type
- Organization (NPI-2)
- Legal business name
- Whidbey Island Manor, INC.
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 4148102 | WA | Yes |
Other names
- Whidbey Island Manor (Doing Business As)
Practice location
235 Sw 6th AveOak Harbor, WA 98277-1900
Phone 360-675-5913
Mailing address
Po Box 1900Oak Harbor, WA 98277-1900
Phone 360-675-5913
Authorized official
Mark S. Wiggins
Administrator/Ceo
3606755913
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