Active NPI
Peak Medical Oklahoma No. 9, Inc.
Doing business as Mcloud Nursing Center
- Skilled Nursing Facility
- McLoud, OK
National Provider Identifier
1881640860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH6309-6309
- Legal business name
- PEAK MEDICAL OKLAHOMA NO. 9, INC.
- Doing business as
- Mcloud Nursing Center
- Practice address
- 701 S 8TH St
McLoud, OK 74851-8500 - Phone
- (405) 964-2962
- Fax
- (405) 964-2198
- NPI assigned
- May 25, 2006
- Last updated
- Oct 15, 2008
- Organization subpart
- Yes
- Parent organization
- SUNBRIDGE HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William A Mathies
- Title
- President Director
- Phone
- (505) 821-3355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH6309-6309 | OK | Primary |
Addresses
Primary practice location
701 S 8TH St
McLoud, OK 74851-8500
Mailing address
101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100779140A | Medicaid | OK |
Other names 1
- Mcloud Nursing Center
National Provider Directory
National Provider Directory- Part of
- Terrace Hghts Nursing H
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba River City Center
- Skilled Nursing Facility
- Decatur, AL
- NPI 1760432652
Member Of
Locations
701 S 8th St
McLoud, OK 74851
Phone (405) 964-2961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1881640860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DEPARTMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "505-468-5604",
"fax_number": "505-468-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S 8TH ST",
"city": "MCLOUD",
"state": "OK",
"postal_code": "748518500",
"telephone_number": "405-964-2962",
"fax_number": "405-964-2198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK MEDICAL OKLAHOMA NO. 9, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
"enumeration_date": "2006-05-25",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "MATHIES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "505-821-3355"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH6309-6309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100779140A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mcloud Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in McLoud, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.