Organization Active NPI

Noah Ark Rehabilitation Center

  • Health Maintenance Organization
  • Midwest City, OK
National Provider Identifier
1487924106
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
302R00000X Issued in OK
Legal business name
NOAH ARK REHABILITATION CENTER
Practice address
9233 NE 10TH St
Midwest City, OK 73130-1317
Phone
(405) 549-9061
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mrs. Barbara Ann Deberry
Title
Director
Phone
(405) 549-9061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 302R00000X OK Primary

Addresses

Primary practice location

9233 NE 10TH St
Midwest City, OK 73130-1317

Mailing address

PO Box 102
Choctaw, OK 73020-0102
Phone (405) 549-9061

National Provider Directory

National Provider Directory

Locations

9233 NE 10th St
Midwest City, OK 73130
Phone (405) 549-9061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1487924106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730200102",
            "telephone_number": "405-549-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 NE 10TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731301317",
            "telephone_number": "405-549-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH ARK REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-549-9061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.