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Contact Information

CRAIG COUNTY MEDICAL SERVICES CORPORATION
1200 W CANADIAN AVE
VINITA, OK74301-2702
 Phone: 918-256-8768
 Fax: 918-256-8760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for CRAIG COUNTY MEDICAL SERVICES CORPORATION

NPI Number 1194813451
LBN Legal business name CRAIG COUNTY MEDICAL SERVICES CORPORATION
Authorized official RON HOFFMAN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 11/24/2009 - About 17 years ago
Identifiers
OK License # 100777430A
OK License # 37-5493
OK Medicaid 100777430A
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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