Active NPI
Elmbrook of Atoka Operating Co LLC
- Skilled Nursing Facility
- Atoka, OK
National Provider Identifier
1265324214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ELMBROOK OF ATOKA OPERATING CO LLC
- Practice address
- 1526 S Virginia Ave
Atoka, OK 74525-3246 - Phone
- (580) 889-2500
- Fax
- (580) 498-0135
- NPI assigned
- Jul 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom C Coble
- Title
- Sole Member
- Phone
- (580) 226-3055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1526 S Virginia Ave
Atoka, OK 74525-3246
Mailing address
1908 12TH Ave NW Ste E
Ardmore, OK 73401-1255
Phone (580) 226-3055
Other names 1
- ELMBROOK OF ATOKA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1026414 | Elmbrook of Atoka | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Coalgate, OK
- NPI 1972545820
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1518980580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1265324214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 12TH AVE NW STE E",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011255",
"telephone_number": "580-226-3055",
"fax_number": "580-226-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253246",
"telephone_number": "580-889-2500",
"fax_number": "580-498-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMBROOK OF ATOKA OPERATING CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "COBLE",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "580-226-3055",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELMBROOK OF ATOKA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.