NPIMap

Organization Active NPI

City of Sapulpa

  • Skilled Nursing Facility
  • Collinsville, OK
National Provider Identifier
1720506702
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH7207 Issued in OK
Legal business name
CITY OF SAPULPA
Practice address
2300 W Broadway St
Collinsville, OK 74021-1625
Phone
(918) 371-2545
Fax
(918) 770-0212
NPI assigned
Aug 30, 2017
Organization subpart
Yes
Parent organization
CITY OF SAPULPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Bill Bush
Title
Cfo
Phone
(405) 285-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH7207 OK Primary

Addresses

Primary practice location

2300 W Broadway St
Collinsville, OK 74021-1625

Mailing address

PO Box 990
Edmond, OK 73083-0990
Phone (405) 285-8166

Other identifiers 1

IdentifierTypeStateIssuer
NH7207OtherOKLICENSE

Other names 1

  • North County Senior Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Sapulpa6 organizations share this tax ID, including this one
Part of
City of Sapulpa

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1720506702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830990",
            "telephone_number": "405-285-8166",
            "fax_number": "405-563-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211625",
            "telephone_number": "918-371-2545",
            "fax_number": "918-770-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAPULPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF SAPULPA",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-285-8166"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NH7207",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.