Memorial Heights Nursing Center

LBN: Heartway Corporation
Memorial Heights Nursing Center is an health care organization with primary practice located at 1305 Se Adams St , Idabel OK 74745. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Heartway Corporation can be contacted via phone (580) 286-3366, or through Baucom, Kathy Suzette via phone (580) 286-1065.

Contact Information

Primary practice address
1305 Se Adams St Idabel OK 74745
Fax: (580) 286-3022
Website:
Authorized official contact:
Name: Baucom, Kathy Suzette

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH4504-4504 Oklahoma

Profile Details

NPI number 1598743387
LBN Legal business name Heartway Corporation
DBA Doing business as Memorial Heights Nursing Center
Authorized official Baucom, Kathy Suzette
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Apr 23rd, 2019 - 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 1598743387 NPPES
Oklahoma MEDICAID 100778790A

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