Checotah Nursing Center LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH4602-4602 Issued in OK

Legal business name

CHECOTAH NURSING CENTER LLC

Doing business as

Checotah Nursing Center

Practice address

321 SE 2ND St
Checotah, OK 74426-4005

Phone

(918) 473-2251

Fax

(918) 473-6774

NPI assigned

Aug 6, 2009

Last updated

Nov 2, 2009By 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

Justin Price

Title

Member

Phone

(918) 967-9285

Specialties & licenses 1

Addresses

Other names 1

• Checotah Nursing Center Doing business as

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1154552255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620726",
            "telephone_number": "918-473-2251",
            "fax_number": "918-473-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 2ND ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744264005",
            "telephone_number": "918-473-2251",
            "fax_number": "918-473-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECOTAH NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-967-9285"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH4602-4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Checotah Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christopher M Mitchell MD PLLC
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• Clayborn Family Clinic, LLC
• Barbara Louann Cobaugh

• Nursing Facility/Intermediate Care Facility in Checotah, OK
• Providers in Checotah, 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 Nov 2, 2009; 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.