<Unavail>

LBN: St. John Villas Inc.
<Unavail> is an health care organization with primary practice located at 2300 W Broadway St , Collinsville OK 74021-1625. 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 / Skilled Nursing Facility is the primary health care specialty. St. John Villas Inc. can be contacted via phone (918) 371-2545, or through Pearce, Donald W via phone (918) 371-2545.

Contact Information

Primary practice address
2300 W Broadway St Collinsville OK 74021-1625
Phone: (918) 371-2545
Fax: (918) 371-2738
Website:
Map and Directions
Authorized official contact:
Name: Pearce, Donald W
Phone: (918) 371-2545

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH7207-7207 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 375504 Oklahoma

Profile Details

NPI number 1356452908
LBN Legal business name St. John Villas Inc.
DBA Doing business as <Unavail>
Authorized official Pearce, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 6th, 2009 - about 17 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 1356452908 NPPES
Oklahoma MEDICAID 100777580A

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