NPIMap

Organization Active NPI

Medi-Plex Nursing Centers, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Tonkawa, OK
National Provider Identifier
1386631398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
313M00000X Issued in OK
Legal business name
MEDI-PLEX NURSING CENTERS, INC.
Practice address
1301 N 5TH St
Tonkawa, OK 74653-1513
Phone
(580) 628-2529
Fax
(580) 628-3517
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Taylor
Title
VP in Charge of Reimbursement
Phone
(918) 775-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 313M00000X OK Primary

Addresses

Primary practice location

1301 N 5TH St
Tonkawa, OK 74653-1513

Mailing address

1301 N 5TH St
Tonkawa, OK 74653-1513
Phone (580) 628-2529

Other names 1

  • Willow Haven Nursing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medi-Plex Nursing Centers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386631398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 5TH ST",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746531513",
            "telephone_number": "580-628-2529",
            "fax_number": "580-628-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 5TH ST",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746531513",
            "telephone_number": "580-628-2529",
            "fax_number": "580-628-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-PLEX NURSING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VP IN CHARGE OF REIMBURSEMENT",
        "authorized_official_telephone_number": "918-775-6200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "313M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Haven Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonkawa, OK

Sources for this page

  • 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.