Wynnewood Care Center

LBN: Ihs Wynnewood Care Center Llc
Wynnewood Care Center is an health care organization with primary practice located at 131 N Broadway Ave , Ada OK 74820-5003. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Ihs Wynnewood Care Center Llc can be contacted via phone (580) 436-0950, or through Reed, Bart Taylor via phone (580) 436-0950.

Contact Information

Primary practice address
131 N Broadway Ave Ada OK 74820-5003
Phone: (580) 436-0950
Fax: (580) 436-0953
Website:
Map and Directions
Authorized official contact:
Name: Reed, Bart Taylor
Phone: (580) 436-0950

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH2506-2506 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2506-2506 Oklahoma

Profile Details

NPI number 1548455975
LBN Legal business name Ihs Wynnewood Care Center Llc
DBA Doing business as Wynnewood Care Center
Authorized official Reed, Bart Taylor
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Sep 24th, 2007 - about 19 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 1548455975 NPPES
Oklahoma MEDICAID 1007767770A

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