Beaver County Nursing Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0401-0401 Issued in OK

Legal business name

BEAVER COUNTY NURSING HOME

Practice address

200 East 8TH Street
Beaver, OK 73932

Phone

(580) 625-4571

Fax

(580) 625-4891

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Arlene Laroyce Brown

Title

Business Office Manager

Phone

(580) 625-4571

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Dean Vaughan, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1629040456
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1699756403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320220",
            "telephone_number": "580-625-4571",
            "fax_number": "580-625-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST 8TH STREET",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "73932",
            "telephone_number": "580-625-4571",
            "fax_number": "580-625-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-08-05",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "LAROYCE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "580-625-4571"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH0401-0401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaver County Memorial Hospital
• Beaver County Memorial Hospital
• Beaver County Memorial Hospital
• Beaver County Memorial Hospital
• Beaver County Memorial Hospital
• Bennett Clinic, PC
• Allison Bennett, ARNP
• Kenzi Brown, PT, DPT
• Carlisle Vision Clinic PLLC
• Trey Dean Carlisle, O.D.

• Nursing Facility/Intermediate Care Facility in Beaver, OK
• Providers in Beaver, 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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.