Southbrook Healthcare, Inc.

LBN: Southbrook Healthcare, Inc.
Southbrook Healthcare, Inc. is an health care organization with primary practice located at 832 Isabel St , Ardmore OK 73401-5118. 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. Southbrook Healthcare, Inc. can be contacted via phone (580) 223-5901, or through Coble, Tom C via phone (580) 226-3055.

Contact Information

Primary practice address
832 Isabel St Ardmore OK 73401-5118
Phone: (580) 223-5901
Fax: (580) 226-0841
Website:
Map and Directions
Authorized official contact:
Name: Coble, Tom C
Phone: (580) 226-3055

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1006-1006 Oklahoma

Profile Details

NPI number 1013916311
LBN Legal business name Southbrook Healthcare, Inc.
DBA Doing business as
Authorized official Coble, Tom C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 7th, 2016 - about 9 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 1013916311 NPPES
Oklahoma MEDICAID 100777570A

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