Skilled Nursing Facility in BROKEN BOW, OK
Last Updated on : Aug 22,2020
INDIAN NATIONS HEALTH CARE LLC is a Skilled Nursing Facility in BROKEN BOW, United States .
1518969781 is NPI number of INDIAN NATIONS HEALTH CARE LLC.
INDIAN NATIONS HEALTH CARE LLC's primary taxonomy code based on NPI Lookup is 314000000X with license number 314000000X. This taxonomy code refers to Skilled Nursing Facility.
INDIAN NATIONS HEALTH CARE LLC current practice location address is 700 JONES ST, BROKEN BOW, OK. INDIAN NATIONS HEALTH CARE LLC can be reached out via phone at 580-584-6433 and via fax at 580-584-2014 .
You can also correspond with INDIAN NATIONS HEALTH CARE LLC through mail at mailing address 700 JONES ST, BROKEN BOW, OK, United States. Mailing address contact number is 580-584-6433.
The enumeration date of INDIAN NATIONS HEALTH CARE LLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of INDIAN NATIONS HEALTH CARE LLC is GIELA WILLIAMS (ADMINISTRATOR). GIELA WILLIAMS can be reached at 5805846433.Basic NPI information of INDIAN NATIONS HEALTH CARE LLC (NPI 1518969781) is provided below.
Name | INDIAN NATIONS HEALTH CARE LLC |
---|---|
National Provider Id (NPI) | 1518969781 |
Entity Type | Organization |
Practice Address | 700 JONES ST,
BROKEN BOW, OK, United States |
Practice Telephone | 580-584-6433 |
Practice Fax Number | 580-584-2014 |
Mailing Address | 700 JONES ST ,
BROKEN BOW, OK, United States |
Mailing Telephone | 580-584-6433 |
Mailing Fax Number | 580-584-2014 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 22-Aug-2020 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 314000000X | OK |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
100778050A | MEDICAID (05) | OK | |
375165 | MEDICARE OSCAR/Certification (06) | OK |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1538405055 | SHIRLIE ANN CHRISTNER | Home Health Aide | 917 N 10TH AVE,
BROKEN BOW, NE, United States |
02-Jan-2013 |
1447301999 | JANET E DOBESH | Counselor, Mental Health | 1015 S D ST,
BROKEN BOW, NE, United States |
12-Jan-2007 |
1134637614 | ERIN BOLDT REIFF | Psychologist, School | 727 S 6TH AVE,
BROKEN BOW, NE, United States |
18-Jan-2018 |
1033657820 | LACI KAI SCOTT | Nurse Practitioner, Family | 145 MEMORIAL DR,
BROKEN BOW, NE, United States |
01-Feb-2017 |
1265738199 | LEAH L MINNE | Physical Therapy Assistant | 80079 RD 444,
BROKEN BOW, NE, United States |
10-Feb-2011 |
1811311921 | JACOB D KARMAZIN | Physician Assistant | PO BOX 690,
BROKEN BOW, NE, United States |
10-Feb-2014 |
1982143764 | JASON S BROOKS | Physician Assistant, Medical | 842 S 11TH AVE,
BROKEN BOW, NE, United States |
14-Feb-2017 |
1235274622 | MICHELE TAYLOR | Counselor, Mental Health | 2608 OLD FAIR RD,
GRAND ISLAND, NE, United States |
21-Feb-2007 |
1114052966 | BRADLEY J CLARK | Dentist, General Practice | PO BOX 117,
310 SOUTH 9TH AVE. BROKEN BOW, NE, United States |
22-Feb-2007 |
1730571837 | QUALITY SENIOR VILLAGES | Clinic/Center | 715 ARAPAHOE LANE,
BROKEN BOW, NE, United States |
26-Feb-2015 |
1861959017 | JUSTIN BOUTWELL | Physician Assistant, Medical | 145 MEMORIAL DR,
BROKEN BOW, NE, United States |
25-Feb-2019 |
1023288396 | SOUTH CENTRAL BEHAVIORAL SERVICES, INC | Clinic/Center, Adolescent and Children Mental Health | 3810 CENTRAL AVE,
KEARNEY, NE, United States |
03-Mar-2008 |
1790925725 | CUSTOM RX, PC | Pharmacy, Compounding Pharmacy | 540 S 8TH AVE STE B,
BROKEN BOW, NE, United States |
03-Mar-2009 |
1295296663 | BROKEN BOW OPERATIONS LLC | Skilled Nursing Facility | 224 E SOUTH E ST,
BROKEN BOW, NE, United States |
28-Mar-2019 |
1093178501 | KATHERINE MYER | Speech-Language Pathologist, | 323 N 7TH AVE,
BROKEN BOW, NE, United States |
01-Apr-2016 |
1801918073 | DOUGLAS JAMES BAZYN | Chiropractor | 312 S 9TH AVE,
BROKEN BOW, NE, United States |
06-Apr-2007 |
1225423221 | RACHEL PETERSON | Dental Hygienist | 833 S 9TH AVE,
BROKEN BOW, NE, United States |
06-Apr-2015 |
1669646410 | OFFBROADWAY APARTMENTS | Assisted Living Facility | 403 S 1ST AVE,
BROKEN BOW, NE, United States |
14-Apr-2008 |
1528284833 | JAMES R. CHRISTEN | Occupational Therapist | 1243 S D ST,
BROKEN BOW, NE, United States |
17-Apr-2007 |
1346660743 | SHEILA ERICKSON | Case Manager/Care Coordinator | 636 N 11TH AVE,
BROKEN BOW, NE, United States |
24-Apr-2014 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1518969781 is the NPI number of INDIAN NATIONS HEALTH CARE LLC.
Where is INDIAN NATIONS HEALTH CARE LLC located?INDIAN NATIONS HEALTH CARE LLC is located at 700 JONES ST, BROKEN BOW, OK.
Field Name | Field Value |
---|---|
NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|