Organization Active NPI

Woodlawn L L C

  • Nursing Facility/Intermediate Care Facility
  • Pauls Valley, OK
National Provider Identifier
1891787925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2504 Issued in OK
Legal business name
WOODLAWN L L C
Practice address
1413 S Chickasaw St
Pauls Valley, OK 73075-6415
Phone
(405) 238-6411
Fax
(405) 238-9278
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ella Mae Winkler
Title
Administrator
Phone
(405) 238-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH2504 OK Primary

Addresses

Primary practice location

1413 S Chickasaw St
Pauls Valley, OK 73075-6415

Mailing address

PO Box 250
Pauls Valley, OK 73075-0250
Phone (405) 238-6411

Other names 1

  • PAULS VALLEY HEALTH CARE FACILITY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891787925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750250",
            "telephone_number": "405-238-6411",
            "fax_number": "405-238-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S CHICKASAW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756415",
            "telephone_number": "405-238-6411",
            "fax_number": "405-238-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-238-6411"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULS VALLEY HEALTH CARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pauls Valley, OK

Sources for this page

  • 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.