Corn the Mennonite Brethren Church of Corn Ok

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH7502 Issued in OK

Legal business name

CORN THE MENNONITE BRETHREN CHURCH OF CORN OK

Practice address

106 W Adams Street
Corn, OK 73024

Phone

(580) 343-2295

Fax

(580) 343-2297

NPI assigned

Apr 10, 2006

Last updated

Apr 5, 2010By 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

Martin Hall

Title

Executive Director

Phone

(580) 343-2295

Specialties & licenses 1

Addresses

Other names 1

• Corn Heritage Village Other name

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1295798494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CORN",
            "state": "OK",
            "postal_code": "730240098",
            "telephone_number": "580-343-2295",
            "fax_number": "580-343-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W ADAMS STREET",
            "city": "CORN",
            "state": "OK",
            "postal_code": "73024",
            "telephone_number": "580-343-2295",
            "fax_number": "580-343-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORN THE MENNONITE BRETHREN CHURCH OF CORN OK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-343-2295"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corn Heritage Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Corn Heritage Village of Corn Inc
• Leah Lorene Dowty, PTA
• Kendra Eastwood
• Jenna Sue Scales

• Nursing Facility/Intermediate Care Facility in Corn, OK
• Providers in Corn, 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 Apr 5, 2010; 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.