Broken Bow Health and Rehab LLC
Organization Active NPI Skilled Nursing Facility · Broken Bow, OK
NPI 1780977462 · NPPES record last updated Jun 3, 2011
Key facts
- NPI
- 1780977462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH4501 (OK)
- Legal business name
- BROKEN BOW HEALTH AND REHAB LLC
- Practice address
- 700 Jones St.
Broken Bow, OK 74728-0130 - Phone
- (580) 584-6433
- Fax
- (580) 584-2014
- NPI assigned
- May 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Giela Raye Williams, RN
- Title
- Administrator
- Phone
- (580) 584-6433
Practitioners 1
-
Arthur Wayne Pearson III, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH4501 | OK | Yes |
Addresses
Primary practice location
700 Jones St.
Broken Bow, OK 74728-0130
Mailing address
PO Box 130
700 Jones St.
Broken Bow, OK 74728-0130
Phone (580) 584-6433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100778050A | Medicaid | OK |
Other names
- Indian Nations Healthcare LLC dba Broken Bow Nursing Home
Other providers in Broken Bow, OK
- Megan Elizabeth Black
- Tonya Joy Boles
- Jade Chantelle Box
- Brighter Heights Oklahoma, LLC
- Broken Bow Dentistry PLLC
- Brumley Counseling
- Cindy Brumley
- Kaitlin Brumley
- Kristen Seianna Bruton
- Robert Buckman
All providers in Broken Bow, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.