Broken Bow Health and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH4501 Issued in 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

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Giela Raye Williams, RN

Title

Administrator

Phone

(580) 584-6433

Specialties & licenses 1

Addresses

Other names 1

• Indian Nations Healthcare LLC dba Broken Bow Nursing Home Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur Wayne Pearson III, M.D.

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1811331754
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1780977462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "700 JONES ST.",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747280130",
            "telephone_number": "580-584-6433",
            "fax_number": "580-584-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JONES ST.",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747280130",
            "telephone_number": "580-584-6433",
            "fax_number": "580-584-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN BOW HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GIELA",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-584-6433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Nations Healthcare LLC dba Broken Bow Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan Elizabeth Black, APRN, C-NP
• Tonya Joy Boles, PAC
• Jade Chantelle Box, BHRS
• Brighter Heights Oklahoma, LLC (Brighter Heights Oklahoma)
• Broken Bow Dentistry PLLC (Broken Bow Dentistry)
• Brumley Counseling
• Cindy Brumley, MBS, LPC, LADC
• Kaitlin Brumley
• Kristen Seianna Bruton
• Robert Buckman

• Skilled Nursing Facility in Broken Bow, OK
• Providers in Broken Bow, 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 Jun 3, 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.