Lightning Creek Investment Group Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0201-0201 Issued in OK

Legal business name

LIGHTNING CREEK INVESTMENT GROUP INC

Practice address

1100 Memorial Dr
Cherokee, OK 73728-3832

Phone

(580) 596-2141

NPI assigned

Jul 13, 2006

Last updated

Jan 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Maddux

Title

President

Phone

(580) 994-5570

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1104841071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "74048",
            "telephone_number": "918-273-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEMORIAL DR",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737283832",
            "telephone_number": "580-596-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTNING CREEK INVESTMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "MADDUX",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-994-5570"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH0201-0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772060A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10077206D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon Hawkins, DPH
• Stacy Leigh Hutchison, COTA/L
• Integris Rural Health Inc (Cherokee Family Clinic)
• Vashni Irving
• Niki S Lewis-Wyatt, PAC
• Linda Kay McMurphy, MD
• Carl Wade Newton, O.D.
• Northwest Family Eyecare Solutions, PLLC
• Jana Kay Oister, DDS
• Gladys Onchwati

• Skilled Nursing Facility in Cherokee, OK
• Providers in Cherokee, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.