Wadley Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

375286 Issued in OK

Legal business name

WADLEY CARE CENTER

Practice address

801 N. 6TH Street
Purcell, OK 73080

Phone

(405) 527-7798

Fax

(405) 527-5175

NPI assigned

Jun 22, 2005

Organization subpart

Yes

Parent organization

WADLEY CARE CENTERAs reported in NPPES

Name

Mr. David Wadley

Title

Owner

Phone

(405) 527-7798

Part of

Wadley Care Center

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2013.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1972509172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1675",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801675",
            "telephone_number": "405-527-7798",
            "fax_number": "405-527-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N. 6TH STREET",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "73080",
            "telephone_number": "405-527-7798",
            "fax_number": "405-527-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADLEY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WADLEY CARE CENTER",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-527-7798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "375286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Purcell, OK
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.