Ruth Wilson Hurley Manor

LBN: Coal County Extended Care Incorporated
Ruth Wilson Hurley Manor is an health care organization with primary practice located at 7 N Covington St , Coalgate OK 74538-2001. 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 / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Coal County Extended Care Incorporated can be contacted via phone (580) 927-2000, or through Bourland, Trent A. via phone (580) 927-2327.

Contact Information

Primary practice address
7 N Covington St Coalgate OK 74538-2001
Phone: (580) 927-2000
Fax: (580) 927-9940
Website:
Map and Directions
Authorized official contact:
Name: Bourland, Trent A.
Phone: (580) 927-2327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH1501-1501 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1501-1501 Oklahoma

Profile Details

NPI number 1639178130
LBN Legal business name Coal County Extended Care Incorporated
DBA Doing business as Ruth Wilson Hurley Manor
Authorized official Bourland, Trent A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 7th, 2020 - about 4 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 1639178130 NPPES
Oklahoma MEDICAID 100774650A

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