Checotah Manor

LBN: Checotah Holdings, Llc
Checotah Manor is an health care organization with primary practice located at 321 Se 2Nd St , Checotah OK 74426-4005. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Checotah Holdings, Llc can be contacted via phone (918) 473-2251, or through Kelsoe, Deborah K via phone (918) 473-5598.

Contact Information

Primary practice address
321 Se 2Nd St Checotah OK 74426-4005
Phone: (918) 473-2251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelsoe, Deborah K
Phone: (918) 473-5598

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 313M00000X Oklahoma

Profile Details

NPI number 1992778278
LBN Legal business name Checotah Holdings, Llc
DBA Doing business as Checotah Manor
Authorized official Kelsoe, Deborah K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

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 1992778278 NPPES
Oklahoma MEDICAID NH4602-4602

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