Gipson and Base at Willow Haven LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

GIPSON AND BASE AT WILLOW HAVEN LLC

Practice address

1301 N 5TH St
Tonkawa, OK 74653-1513

Phone

(580) 628-2529

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Base

Title

Receiver

Phone

(405) 447-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679698443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S PETERS AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696034",
            "telephone_number": "405-447-3000"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIPSON AND BASE AT WILLOW HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "405-447-3000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J Campbell, DDS
• City of Tonkawa
• Joyce Daniel, APRN
• Anna Lois Denton
• Kenzee Kay Gambrell, PA
• Genevieve E Glasgow, RN
• Patricia Ann Marie Hall, LADC, CM
• Harold R Hutton II, D.PH.
• Hutton Pharmacy #2 Inc
• Ila Seaton, LLC

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