Summit Healthcare Receivership LLC
Organization Active NPI Skilled Nursing Facility · Okeene, OK
NPI 1114220191 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1114220191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0601 (OK)
- Legal business name
- SUMMIT HEALTHCARE RECEIVERSHIP LLC
- Practice address
- 119 N. 6TH
Okeene, OK 73763 - Phone
- (580) 822-4441
- Fax
- (580) 822-4431
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Randy Goodman
- Title
- Receiver
- Phone
- (405) 769-7990
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0601 | OK | Yes |
Addresses
Primary practice location
119 N. 6TH
Okeene, OK 73763
Mailing address
PO Box 1218
Nicoma Park, OK 73066-1218
Phone (405) 769-7990
Other providers in Okeene, OK
- Thomas Clayton Sander
- Patricia Jayne Schwartz
- George Scott Stenger
- Summers Health Services, LLC
- Summit Healthcare LLC
- Michael R Talley
- Brenda Lee Wallace
- Wheatland Therapy Services, LLC.
- Amy Lee Williams
All providers in Okeene, OK · Skilled Nursing 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 Aug 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.