Wewoka Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH6705-6705 Issued in OK

Legal business name

WEWOKA NURSING HOME INC

Practice address

1400 W 1St St
Wewoka, OK 74884-5006

Phone

(580) 436-0950

Fax

(580) 436-0953

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

John Smart

Title

President

Phone

(405) 380-6902

Specialties & licenses 2

Addresses

Other names 1

• WEWOKA NURSING HOME Doing business as

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1679862718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205003",
            "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": "580-436-0950",
            "fax_number": "580-436-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEWOKA NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-380-6902"
    },
    "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": [
        {
            "organization_name": "WEWOKA NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usphs/IHS/Wewoka Indian Health Clinic
• Wal-Mart Stores East LP
• Wewoka Healthcare Center LLC
• Wewoka IHS Pharmacy
• Wewoka Indian Health
• Wewoka Regional Medical Center
• Robert A Wieck, DO
• Lindsey Delaney Williams
• Tina Williams
• Tracy S Williams, APN

• 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 Jul 1, 2011; 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.