Colonial Manor Ii

LBN: Harmon County Healthcare Trust Authority
Colonial Manor Ii is an health care organization with primary practice located at 120 W Versa St , Hollis OK 73550-3046. 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. Harmon County Healthcare Trust Authority can be contacted via phone (580) 688-9431, or through Smith, Hope via phone (580) 688-9431.

Contact Information

Primary practice address
120 W Versa St Hollis OK 73550-3046
Phone: (580) 688-9431
Fax: (580) 688-2491
Website:
Map and Directions
Authorized official contact:
Name: Smith, Hope
Phone: (580) 688-9431

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH2902-2902 Oklahoma

Profile Details

NPI number 1639166085
LBN Legal business name Harmon County Healthcare Trust Authority
DBA Doing business as Colonial Manor Ii
Authorized official Smith, Hope
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jun 17th, 2008 - about 16 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 1639166085 NPPES
Oklahoma MEDICAID 100772150A

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