Corn Heritage Village

LBN: Corn The Mennonite Brethren Church Of Corn Ok
Corn Heritage Village is an health care organization with primary practice located at 106 W Adams Street , Corn OK 73024. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Corn The Mennonite Brethren Church Of Corn Ok can be contacted via phone (580) 343-2295, or through Hall, Martin via phone (580) 343-2295.

Contact Information

Primary practice address
106 W Adams Street Corn OK 73024
Phone: (580) 343-2295
Fax: (580) 343-2297
Website:
Map and Directions
Authorized official contact:
Name: Hall, Martin
Phone: (580) 343-2295

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH7502 Oklahoma

Profile Details

NPI number 1295798494
LBN Legal business name Corn The Mennonite Brethren Church Of Corn Ok
DBA Doing business as Corn Heritage Village
Authorized official Hall, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 5th, 2010 - about 14 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 1295798494 NPPES
Oklahoma MEDICAID 100771430A

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