Farwest Healthcare Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH05050505 Issued in OK

Legal business name

FARWEST HEALTHCARE INC.

Practice address

2301 Bell Ave
Elk City, OK 73644-2254

Phone

(580) 225-3335

Fax

(580) 225-6383

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alex Wade Dout

Title

Sec/Treas

Phone

(918) 333-9545

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bell Avenue Nursing Center Doing business as

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1336258409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BELL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442254",
            "telephone_number": "580-225-3335",
            "fax_number": "580-225-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BELL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442254",
            "telephone_number": "580-225-3335",
            "fax_number": "580-225-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARWEST HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "DOUT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "918-333-9545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH05050505",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH05050505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "030378262",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100770720A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Avenue Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmers Union Hospital Association
• Farmers Union Hospital Association
• Farmers Union Hospital Association
• Farmers Union Hospital Association
• Farmers Union Hospital Association
• Paul Lynn Firth, MD
• Fisher Chiropractic Clinic Inc.
• Bill Lee Fisher, D.C.
• Tyson Dale Fisher, M.D.
• Micah Foale, PHARMD

• Skilled Nursing Facility in Elk City, OK
• Providers in Elk City, 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 Jul 27, 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.