Active NPI
United Methodist Retirement & Health Care Center, Inc.
- Skilled Nursing Facility
- Clinton, OK
National Provider Identifier
1922172113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNITED METHODIST RETIREMENT & HEALTH CARE CENTER, INC.
- Practice address
- 2316 W Modelle Ave
Clinton, OK 73601-3722 - Phone
- (580) 323-0912
- Fax
- (580) 323-4935
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael R Sewell
- Title
- Administrator
- Phone
- (580) 323-0912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2316 W Modelle Ave
Clinton, OK 73601-3722
Mailing address
2316 W Modelle Ave
PO Box 578
Clinton, OK 73601-3722
Phone (580) 323-0912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100773400A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1922172113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 W MODELLE AVE",
"address_2": "PO BOX 578",
"city": "CLINTON",
"state": "OK",
"postal_code": "736013722",
"telephone_number": "580-323-0912",
"fax_number": "580-323-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 W MODELLE AVE",
"city": "CLINTON",
"state": "OK",
"postal_code": "736013722",
"telephone_number": "580-323-0912",
"fax_number": "580-323-4935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED METHODIST RETIREMENT & HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "SEWELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "580-323-0912",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100773400A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, OK
- Melissa Torres Coons, APRN-CNP
- Jeremiah Edwin Trent
- Ann Truong
- Tanya Irene Turino
- Ejeehi Umobuarie, M.D
- Rebecca Uraneck, RN
- US Public Health Service Indian Health (Clinton Indian Health Center)
- Variety Care, Inc. (Variety Care Clinton)
- Vic Fey MD Inc a Professional Corporation
- Rusty Scott Voight, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.