Crestridge Place

LBN: Crestridge Llc
Crestridge Place is an health care organization with primary practice located at 816 N Clarence Nash Blvd , Watonga OK 73772-2024. 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. Crestridge Llc can be contacted via phone (580) 623-7249, or through Sims, James via phone (580) 822-4441.

Contact Information

Primary practice address
816 N Clarence Nash Blvd Watonga OK 73772-2024
Phone: (580) 623-7249
Fax: (580) 623-7245
Website:
Map and Directions
Authorized official contact:
Name: Sims, James
Phone: (580) 822-4441

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH0603-0603 Oklahoma

Profile Details

NPI number 1639262702
LBN Legal business name Crestridge Llc
DBA Doing business as Crestridge Place
Authorized official Sims, James
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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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