Willow Creek Health Care Llc

LBN: Willow Creek Health Care Llc
Willow Creek Health Care Llc is an health care organization with primary practice located at 2300 W Noble Ave , Guthrie OK 73044-5504. 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. Willow Creek Health Care Llc can be contacted via phone (405) 282-1686, or through Hastings, Tandie via phone (405) 282-6285.

Contact Information

Primary practice address
2300 W Noble Ave Guthrie OK 73044-5504
Phone: (405) 282-1686
Fax: (405) 282-5731
Website:
Map and Directions
Authorized official contact:
Name: Hastings, Tandie
Phone: (405) 282-6285

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH4201 Oklahoma

Profile Details

NPI number 1497084693
LBN Legal business name Willow Creek Health Care Llc
DBA Doing business as
Authorized official Hastings, Tandie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Apr 19th, 2012 - about 12 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 1497084693 NPPES
Oklahoma MEDICAID 100778230A

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