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POCOLA NURSING CENTER LLC NPI 1881721637


NPI Information

NPI: 1881721637
Provider Name: POCOLA NURSING CENTER LLC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 37D0673200

Address:
200 HOME STREET
POCOLA, OK
ZIP 74902
Phone: (918) 436-2228
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POCOLA NURSING CENTER LLC is a nursing care and pediatric skilled nursing facility in Pocola, OK. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. POCOLA NURSING CENTER LLC NPI is 1881721637. The provider is registered as an organization entity type.

The provider's business location address is:

200 HOME STREET
POCOLA, OK
ZIP 74902
Phone: (918) 436-2228

The provider's authorized official is Chris Hensley .
The authorized official title is Administrator and has the following contact phone number (918) 436-2228.

The CLIA number assigned to this NPI record is 37D0673200 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric100777480AOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1375188MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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