Callaway Nursing Home

LBN: Sulphur Manor Inc
Callaway Nursing Home is an health care organization with primary practice located at 1300 W Lindsay Ave , Sulphur OK 73086-6650. 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. Sulphur Manor Inc can be contacted via phone (580) 622-4600, or through Pita, Janice via phone (580) 622-6300.

Contact Information

Primary practice address
1300 W Lindsay Ave Sulphur OK 73086-6650
Phone: (580) 622-4600
Fax: (580) 622-5151
Website:
Map and Directions
Authorized official contact:
Name: Pita, Janice
Phone: (580) 622-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH5003-5003 Oklahoma

Profile Details

NPI number 1508853508
LBN Legal business name Sulphur Manor Inc
DBA Doing business as Callaway Nursing Home
Authorized official Pita, Janice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 16th, 2008 - about 18 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 1508853508 NPPES
Oklahoma Other 000375401001 BLUE CROSS/BLUE SHIELD
Oklahoma MEDICAID 100776290A BLUE CROSS/BLUE SHIELD

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