Woodlawn LP

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH4205 Issued in OK

Legal business name

WOODLAWN LP

Practice address

2219 Woodlawn
Guthrie, OK 73044

Phone

(405) 282-3630

Fax

(405) 282-7847

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Greg Machtolff

Title

Manager

Phone

(405) 282-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLONIAL ESTATES Doing business as

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1154313278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "73044",
            "telephone_number": "405-282-2600",
            "fax_number": "405-282-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 WOODLAWN",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "73044",
            "telephone_number": "405-282-3630",
            "fax_number": "405-282-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "MACHTOLFF",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-282-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH4205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100769500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL ESTATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Williams
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• WVL I LP
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• Nursing Facility/Intermediate Care Facility in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.