Nursing Center of the Southwest LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH3305-3305 Issued in OK

Legal business name

NURSING CENTER OF THE SOUTHWEST LLC

Practice address

2610 Cedar Creek Dr
Altus, OK 73521-1312

Phone

(580) 480-1800

Fax

(580) 477-2006

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. B. Wade Brinkman

Title

Administrator

Phone

(580) 480-1800

Specialties & licenses 1

Addresses

Other names 1

• PLANTATION VILLAGE NURSING CENTER Doing business as

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891728820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 CEDAR CREEK DR",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211312",
            "telephone_number": "580-480-1800",
            "fax_number": "580-477-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 CEDAR CREEK DR",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211312",
            "telephone_number": "580-480-1800",
            "fax_number": "580-477-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING CENTER OF THE SOUTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-480-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH3305-3305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLANTATION VILLAGE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Newland, MD
• James J Newman, MD
• Hermine Carrell Nichols, COTA
• Noble L Ballard.Medical Clinic, PLLC
• Isabella Suzanne Norton, MS
• Staci O'Steen
• Makinzie Oden, PHARMD
• Oklahoma City Vamc
• Oklahoma Mental Health Council
• Oklahoma Psychiatric Family Clinic, Inc

• Nursing Facility/Intermediate Care Facility in Altus, OK
• Providers in Altus, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.