Medi-Home of Arkoma Inc
Organization Active NPI Skilled Nursing Facility · Arkoma, OK
NPI 1922101088 · NPPES record last updated Aug 27, 2007
Key facts
- NPI
- 1922101088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH4003-4003 (OK)
- Legal business name
- MEDI-HOME OF ARKOMA INC
- Practice address
- 1008 Arkansas Street
Arkoma, OK 74901-0410 - Phone
- (918) 875-3107
- Fax
- (918) 875-3021
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Roy Ralph Nichols
- Title
- Administrator
- Phone
- (918) 875-3107
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH4003-4003 | OK | Yes |
Addresses
Primary practice location
1008 Arkansas Street
Arkoma, OK 74901-0410
Mailing address
PO Box 410
Arkoma, OK 74901-0410
Phone (918) 875-3107
Other providers in Arkoma, OK
All providers in Arkoma, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.