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Contact Information

CORN HERITAGE VILAGE OF WEATHERFORD
801 N WASHINGTON ST
WEATHERFORD, OK73096-4032
 Phone: 580-772-3993
 Fax: 580-772-1032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CORN HERITAGE VILAGE OF WEATHERFORD

NPI # 1023241494
LBN Legal business name CORN HERITAGE VILAGE OF WEATHERFORD
Authorized official MARTIN HALL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2009
Last updated 09/01/2009 - About 17 years ago
Identifiers
OK License # NH2002-2002
OK Medicaid 200076200A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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