Michael F Flanagan, Receiver for Medfors Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH27022702 Issued in OK

Legal business name

MICHAEL F FLANAGAN, RECEIVER FOR MEDFORS NURSING HOME

Doing business as

Medford Nursing Home

Practice address

616 S Front St
Medford, OK 73759-1714

Phone

(580) 395-2105

Fax

(580) 395-2070

NPI assigned

Oct 3, 2005

Last updated

Aug 22, 2020By 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

Michael F Flanagan

Title

Corporate Attorney

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

Other names 1

• MEDFORD NURSING HOME Doing business as

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225025455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S FRONT ST",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737591714",
            "telephone_number": "580-395-2105",
            "fax_number": "580-395-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S FRONT ST",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737591714",
            "telephone_number": "580-395-2105",
            "fax_number": "580-395-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F FLANAGAN, RECEIVER FOR MEDFORS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CORPORATE ATTORNEY",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH27022702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDFORD NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Servant Living Center - Medford LLC
• Linda Sue Woodruff, ARNP

• Skilled Nursing Facility in Medford, OK
• Providers in Medford, 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 Aug 22, 2020; 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.