Country Club Care

LBN: Kanakuk, Inc.
Country Club Care is an health care organization with primary practice located at 1904 N Highway 81 , Duncan OK 73533-1447. 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. Kanakuk, Inc. can be contacted via phone (580) 255-4600, or through Gregston, Joe Lynn via phone (580) 255-4600.

Contact Information

Primary practice address
1904 N Highway 81 Duncan OK 73533-1447
Phone: (580) 255-4600
Fax: (580) 255-0438
Website:
Map and Directions
Authorized official contact:
Name: Gregston, Joe Lynn
Phone: (580) 255-4600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH69046904 Oklahoma

Profile Details

NPI number 1316030414
LBN Legal business name Kanakuk, Inc.
DBA Doing business as Country Club Care
Authorized official Gregston, Joe Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 20th, 2009 - about 15 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 1316030414 NPPES
Oklahoma MEDICAID 100773460 A
Oklahoma MEDICAID 100773460A

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