Chisholm Trail Retirement Community
Organization Active NPI Assisted Living Facility · Duncan, OK
NPI 1104151877 · NPPES record last updated Oct 13, 2009
Key facts
- NPI
- 1104151877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL 6903-6903 (OK)
- Legal business name
- CHISHOLM TRAIL RETIREMENT COMMUNITY
- Practice address
- 625 Chisholm Trail Pkwy
Duncan, OK 73533-2205 - Phone
- (580) 470-8600
- NPI assigned
- Oct 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Dustin Rex Cox
- Title
- Owner
- Phone
- (580) 470-8600
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2200849 | Chisholm Trail Assisted Living | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
Locations
625 Chisholm Trail Pkwy
Duncan, OK 73533
Phone (580) 470-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL 6903-6903 | OK | Yes |
Addresses
Primary practice location
625 Chisholm Trail Pkwy
Duncan, OK 73533-2205
Mailing address
625 Chisholm Trail Pkwy
Duncan, OK 73533-2205
Phone (580) 470-8600
Other names
- Chisholm Trail Assisted Living
Other providers in Duncan, OK
- Centurion Emergency Partners LLC
- Elizabeth Anne Cerney
- Sarah Ann Chancey
- Che Miller MD PLLC
- Chisholm Trail Physical Therapy & Sports Rehab
- Chisholm Trial Imaging LLC
- John Martin Chmiel
- Bree Churchman
- James Clare II
- Jordan Cody
All providers in Duncan, OK · Assisted Living Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.