Willow Park Healthcare Center

LBN: Southwest Ltc Lawton Llc
Willow Park Healthcare Center is an health care organization with primary practice located at 7019 Nw Cache Rd , Lawton OK 73505-2707. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Southwest Ltc Lawton Llc can be contacted via phone (469) 916-6100, or through Payne, Ronald R via phone (469) 916-6100.

Contact Information

Primary practice address
7019 Nw Cache Rd Lawton OK 73505-2707
Phone: (469) 916-6100
Fax: (469) 916-6105
Website:
Map and Directions
Authorized official contact:
Name: Payne, Ronald R
Phone: (469) 916-6100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1588055206
LBN Legal business name Southwest Ltc Lawton Llc
DBA Doing business as Willow Park Healthcare Center
Authorized official Payne, Ronald R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2015
Last updated Feb 17th, 2015 - about 10 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 1588055206 NPPES
Oklahoma MEDICAID 200102040A

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