Pauls Valley Care Center
LBN: Pauls Valley Care Center Llc
Pauls Valley Care Center is an health care organization with primary practice located at 1413 S Chickasaw St , Pauls Valley OK 73075-6415. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Pauls Valley Care Center Llc can be contacted via phone (405) 238-6411, or through Reed, Bart via phone (580) 436-0950.
Contact Information
Primary practice address
1413 S Chickasaw St
Pauls Valley OK 73075-6415
Phone: (405) 238-6411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | NH2504-2504 | Oklahoma |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH2504-2504 | Oklahoma |
Profile Details
| NPI number | 1740412998 |
|---|---|
| LBN Legal business name | Pauls Valley Care Center Llc |
| DBA Doing business as | Pauls Valley Care Center |
| Authorized official | Reed, Bart |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Apr 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740412998 | NPPES |
| Oklahoma | MEDICAID | 100778860A |
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