Wewoka Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH6705-6705 Issued in OK

Legal business name

WEWOKA HEALTHCARE CENTER LLC

Practice address

1400 W 1St St
Wewoka, OK 74884-5006

Phone

(405) 257-3393

Fax

(405) 257-6407

NPI assigned

Jan 30, 2011

Organization subpart

No

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

Authorized official

Name

Bart Reed

Title

Manager

Phone

(580) 436-0950

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1336445972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 1ST ST",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748845004",
            "telephone_number": "580-436-0950",
            "fax_number": "580-436-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 1ST ST",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748845006",
            "telephone_number": "405-257-3393",
            "fax_number": "405-257-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEWOKA HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-30",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-436-0950"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6705-6705",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH6705-6705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Clare Trent, CMI
• Tricities Medical & Surgical
• Shelly Upchurch-Berning
• Usphs/IHS/Wewoka Indian Health Clinic
• Wal-Mart Stores East LP
• Wewoka IHS Pharmacy
• Wewoka Indian Health
• Wewoka Nursing Home Inc
• Wewoka Regional Medical Center
• Robert A Wieck, DO

• Skilled Nursing Facility in Wewoka, OK
• Providers in Wewoka, 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 Apr 7, 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.