Harmon County Healthcare Authority

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH2901 Issued in OK

Legal business name

HARMON COUNTY HEALTHCARE AUTHORITY

Doing business as

Colonial Manor I

Practice address

400 E Sycamore St
Hollis, OK 73550-1436

Phone

(580) 688-9114

Fax

(580) 688-2955

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Castleman

Title

Chairman of the Board

Phone

(580) 688-3531

Specialties & licenses 1

Addresses

Other names 1

• Colonial Manor I Doing business as

Tax ID family

Richard W Schafer DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harmon County Healthcare Trust Authority

  • Nursing Facility/Intermediate Care Facility
  • Hollis, OK
  • NPI 1639166085
  NPD tax ID

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366654147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735500793",
            "telephone_number": "580-688-9114",
            "fax_number": "580-688-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SYCAMORE ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735501436",
            "telephone_number": "580-688-9114",
            "fax_number": "580-688-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTLEMAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "580-688-3531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Cooper, FNPC
• Cayden James Crume
• Erica E De Santos, A.P.R.N
• William Paul Estes, DDS
• Vickie June Godwin, LMFT
• Harmon County Healthcare Authority
• Harmon County Healthcare Authority
• Harmon County Healthcare Authority
• Harmon County Healthcare Trust Authority
• Kimberly Yvette Hestand, NP-C

• Nursing Facility/Intermediate Care Facility in Hollis, OK
• Providers in Hollis, 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 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.