Meadow Brook Icf/Mr #2

LBN: Meadow Brook Icf/Mr #2
Meadow Brook Icf/Mr #2 is an health care organization with primary practice located at 1500 Meadow Lane , Howe OK 74940. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Meadow Brook Icf/Mr #2 can be contacted via phone (918) 658-3656, or through Bundy, Tabitha via phone (918) 658-3656.

Contact Information

Primary practice address
1500 Meadow Lane Howe OK 74940
Phone: (918) 658-3656
Fax: (918) 658-3967
Website:
Map and Directions
Authorized official contact:
Name: Bundy, Tabitha
Phone: (918) 658-3656

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X NH4004-4004 Oklahoma

Profile Details

NPI number 1164684957
LBN Legal business name Meadow Brook Icf/Mr #2
DBA Doing business as
Authorized official Bundy, Tabitha
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 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 1164684957 NPPES
Oklahoma Other NH4004-4004 OKLAHOMA STATE DEPARTMENT OF HEALTH

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