Active NPI
IHS Acquisition No 127 Inc
Doing business as Midwest City Nursing Center
- Skilled Nursing Facility
- Midwest City, OK
National Provider Identifier
1003809203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH5552-5552
- Legal business name
- IHS ACQUISITION NO 127 INC
- Doing business as
- Midwest City Nursing Center
- Practice address
- 8200 National Ave
Midwest City, OK 73110-8518 - Phone
- (405) 737-8200
- Fax
- (405) 736-0583
- NPI assigned
- Aug 24, 2005
- Last updated
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Reynolds
- Title
- Ceo
- Phone
- (410) 513-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH5552-5552 | OK | Primary |
Addresses
Primary practice location
8200 National Ave
Midwest City, OK 73110-8518
Mailing address
8200 National Ave
Midwest City, OK 73110-8518
Phone (405) 737-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100770810A | Medicaid | OK |
Other names 1
- Midwest City Nursing Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Pharmerica
- Long Term Care Pharmacy
- Albuquerque, NM
- NPI 1639102213
Member Of
Locations
8200 National Ave
Oklahoma City, OK 73110
Phone (405) 737-8200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1003809203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 NATIONAL AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731108518",
"telephone_number": "405-737-8200",
"fax_number": "405-736-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 NATIONAL AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731108518",
"telephone_number": "405-737-8200",
"fax_number": "405-736-0583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHS ACQUISITION NO 127 INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-513-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH5552-5552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100770810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest City Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.