NPIMap

Organization Active NPI

Craig County Medical Services Corporation

Doing business as Rosewood Terrace

  • Skilled Nursing Facility
  • Vinita, OK
National Provider Identifier
1194813451
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
37-5493 Issued in OK
Legal business name
CRAIG COUNTY MEDICAL SERVICES CORPORATION
Doing business as
Rosewood Terrace
Practice address
1200 W Canadian Ave
Vinita, OK 74301-2702
Phone
(918) 256-8768
Fax
(918) 256-8760
NPI assigned
Oct 11, 2006
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mr. Ron L Hoffman
Title
Vice President
Phone
(918) 355-1596

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100777430A OK
Skilled Nursing Facility 314000000X 37-5493 OK Primary

Addresses

Primary practice location

1200 W Canadian Ave
Vinita, OK 74301-2702

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3320

Other identifiers 1

IdentifierTypeStateIssuer
100777430AMedicaidOK

Other names 1

  • Rosewood Terrace Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1194813451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CANADIAN AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012702",
            "telephone_number": "918-256-8768",
            "fax_number": "918-256-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG COUNTY MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "918-355-1596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "100777430A",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "37-5493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777430A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.