Organization Active NPI

United Methodist Retirement & Health Care Center, Inc.

  • Skilled Nursing Facility
  • Clinton, OK
National Provider Identifier
1922172113
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 12, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100773400AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.