Organization Active NPI

Frankberg Clinton LLC

  • Skilled Nursing Facility
  • Clinton, OK
National Provider Identifier
1013695774
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRANKBERG CLINTON LLC
Doing business as
Clinton Therapy & Living Center
Practice address
2316 W Modelle Ave
Clinton, OK 73601-3722
Phone
(580) 323-0912
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Alan Berglan
Title
President
Phone
(405) 833-7436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2316 W Modelle Ave
Clinton, OK 73601-3722

Mailing address

4516 Timber Creek Dr
Goldsby, OK 73093-9308
Phone (405) 833-7436

Other names 1

  • Clinton Therapy & Living Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1013695774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 TIMBER CREEK DR",
            "city": "GOLDSBY",
            "state": "OK",
            "postal_code": "730939308",
            "telephone_number": "405-833-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W MODELLE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013722",
            "telephone_number": "580-323-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKBERG CLINTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BERGLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-833-7436"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Therapy & Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.