Ok4 McAlester Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OK4 MCALESTER OPCO LLC

Practice address

1001 S George Nigh Expy
McAlester, OK 74501-7286

Phone

(918) 423-7373

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Isaac Dole

Title

Manager/Principal

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Walnut Grove Living center Doing business as

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1790132025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "773-645-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE NIGH EXPY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017286",
            "telephone_number": "918-423-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK4 MCALESTER OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER/PRINCIPAL",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Grove Living center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Northcott
• Cierra Brooklyn Toshali Sue Nutt, RD
• Bruce E. O'Brien, M.D.
• Kymbrynn Nicole O'Diam, APRN
• Emily Elizabeth Ogden, APRN-CNP
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• Oklahoma Cancer Specialists and Research Institute LLC
• Oklahoma CVS Pharmacy, L.L.C.
• Oklahoma Emergency Partners LLC
• Oklahoma Limb & Brace Co.

• Skilled Nursing Facility in McAlester, OK
• Providers in McAlester, 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 Oct 29, 2024; 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.