Corn Heritage Vilage Of Weatherford

LBN: Corn Heritage Vilage Of Weatherford
Corn Heritage Vilage Of Weatherford is an health care organization with primary practice located at 801 N Washington St , Weatherford OK 73096-4032. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Corn Heritage Vilage Of Weatherford can be contacted via phone (580) 772-3993, or through Hall, Martin via phone (580) 772-3993.

Contact Information

Primary practice address
801 N Washington St Weatherford OK 73096-4032
Phone: (580) 772-3993
Fax: (580) 772-1032
Website:
Map and Directions
Authorized official contact:
Name: Hall, Martin
Phone: (580) 772-3993

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH2002-2002 Oklahoma

Profile Details

NPI number 1023241494
LBN Legal business name Corn Heritage Vilage Of Weatherford
DBA Doing business as
Authorized official Hall, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023241494 NPPES
Oklahoma MEDICAID 200076200A

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