Provider Demographics
NPI:1962505255
Name:MARQUIS COMPANIES I INC
Entity Type:Organization
Organization Name:MARQUIS COMPANIES I INC
Other - Org Name:MARQUIS PLUM RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:TONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-260-5200
Mailing Address - Street 1:1401 BRYANT WILLIAMS DRIVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601
Mailing Address - Country:US
Mailing Address - Phone:541-882-6691
Mailing Address - Fax:541-885-4515
Practice Address - Street 1:1401 BRYANT WILLIAMS DRIVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601
Practice Address - Country:US
Practice Address - Phone:541-882-6691
Practice Address - Fax:541-885-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR800063Medicaid
OR385137Medicare Oscar/Certification
OR385137Medicare Oscar/Certification