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Contact Information

QUAIL RIDGE LIVING CENTER INC
564 STATE LINE RD
COLCORD, OK74338
 Phone: 918-422-5139
 Fax: 918-422-9998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for QUAIL RIDGE LIVING CENTER INC

NPI Number 1396841094
LBN Legal business name QUAIL RIDGE LIVING CENTER INC
Authorized official LINDA CARTER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # NH21052105
Other 000375175001 BLUE CROSS BLUE SHIELD
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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