Clinton Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLINTON NURSING AND REHAB LLC

Doing business as

Clinton Nursing and Rehab

Practice address

2316 W Modelle Ave
Clinton, OK 73601-3722

Phone

(580) 323-0912

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By 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

James Montgomery

Title

Member

Phone

(479) 715-6759

Specialties & licenses 1

Addresses

Other names 1

• Clinton Nursing and Rehab Doing business as

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1194568295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444991 EAST LOOP ROAD",
            "city": "GORE",
            "state": "OK",
            "postal_code": "74435",
            "telephone_number": "479-236-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W MODELLE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013722",
            "telephone_number": "580-323-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Hospital Authority
• Clinton Hospital Authority
• Clinton Hospital Authority
• Clinton Indian Health Center
• Clinton Indian Health Center (Clinton IHS Pharmacy)
• Clinton Nursing Center, LLC (Grace Living Center - Clinton)
• Clinton Public Schools
• Clinton Therapy & Living Center, LLC
• Clintonweatherford RT Associates LLC (Artesian Cancer Center @ Clinton)
• Sherri Ann Cloninger

• Skilled Nursing Facility in Clinton, OK
• Providers in Clinton, 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 Jun 17, 2024; 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.