Checotah Nursing Center LLC

Organization Active NPI Nursing Facility/Intermediate Care Facility · Checotah, OK

NPI 1154552255 · NPPES record last updated Nov 2, 2009

Key facts

NPI
1154552255
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
NH4602-4602 (OK)
Legal business name
CHECOTAH NURSING CENTER LLC
Practice address
321 SE 2ND St
Checotah, OK 74426-4005
Phone
(918) 473-2251
Fax
(918) 473-6774
NPI assigned
Aug 6, 2009
Organization subpart
No

Authorized official

Name
Justin Price
Title
Member
Phone
(918) 967-9285

National Provider Directory

Locations

321 SE 2nd St
Checotah, OK 74426
Phone (918) 473-2251

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH4602-4602 OK Yes

Addresses

Primary practice location

321 SE 2ND St
Checotah, OK 74426-4005

Mailing address

PO Box 726
Stigler, OK 74462-0726
Phone (918) 473-2251

Other names

  • Checotah Nursing Center Doing business as

Other providers in Checotah, OK

All providers in Checotah, OK · Nursing Facility/Intermediate Care Facility in Oklahoma

Sources for this page

Verify at the official NPI Registry.