Artesian Home, Inc.

LBN: Artesian Home, Inc.
Artesian Home, Inc. is an health care organization with primary practice located at 1415 W 15Th St , Sulphur OK 73086-2003. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Artesian Home, Inc. can be contacted via phone (580) 622-2030, or through Coble, Tom C via phone (580) 226-3055.

Contact Information

Primary practice address
1415 W 15Th St Sulphur OK 73086-2003
Phone: (580) 622-2030
Fax: (580) 622-5752
Website:
Map and Directions
Authorized official contact:
Name: Coble, Tom C
Phone: (580) 226-3055

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH5001-5001 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5001-5001 Oklahoma

Profile Details

NPI number 1588663520
LBN Legal business name Artesian Home, Inc.
DBA Doing business as
Authorized official Coble, Tom C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588663520 NPPES
Oklahoma MEDICAID 100770850 A

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