State of Oklahoma

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH5609 Issued in OK

Legal business name

STATE OF OKLAHOMA

Practice address

900 E. Airport Rd.
Okmulgee, OK 74447

Phone

(918) 756-9211

Fax

(918) 756-9452

NPI assigned

Feb 8, 2008

Last updated

Sep 11, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF OKLAHOMAAs reported in NPPES

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

Authorized official

Name

Mrs. Karen S Knight

Title

Business Manager

Phone

(918) 756-9211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Board of Regents for the Univ of OK on behalf of George Nigh SNF Other name

Part of

Oklahoma Forensic Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Board of Regents of the University of Oklahoma--Ou Health Services

  • Student Health Clinic/Center
  • Norman, OK
  • NPI 1548372626

  Member Of

  NPD member

Practitioners 2

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.

• Peter Werner Eckhardt, P.A.-C.

  • Physician Assistant
  • Okmulgee, OK
  • NPI 1962557744
  NPD (past)
• Gala S McBee

  • Speech-Language Pathologist
  • Okmulgee, OK
  • NPI 1902077316
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1881872182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744471118",
            "telephone_number": "918-756-9211",
            "fax_number": "918-756-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E. AIRPORT RD.",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-9211",
            "fax_number": "918-756-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF OKLAHOMA",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-756-9211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "NH5609",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Regents for the Univ of OK on behalf of George Nigh SNF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruth Stacey
• Anita Kaye Stallings
• Leta Michelle Stanley, MS, LPC
• Stephanie C Stanley
• State of Oklahoma (d/b/a OSU-Omulgee Orthotic, Prosthetic and Pedorthic Center)
• State of Oklahoma (Board of Regents for OUHSC on behalf of George Nigh LTACH)
• State of Oklahoma
• State of Oklahoma-Okmulgee
• Sarah Stice, FSP
• Jasmine Michelle Stidman, C-SLPA

• Skilled Nursing Facility in Okmulgee, OK
• Providers in Okmulgee, 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 Sep 11, 2009; 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.