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Contact Information

PSG TEMPLE LLC
100 GREEN AVE
TEMPLE, OK73568
 Phone: 580-342-6228
 Fax: 580-342-5015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PSG TEMPLE LLC

NPI Number 1053317107
LBN Legal business name PSG TEMPLE LLC
Authorized official LUCRETIA PARKEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2005
Last updated 05/30/2013 - About 13 years ago
Identifiers
OK License # NH1702
OK Medicaid 200055110C
OK Medicaid 200102030A
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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