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Contact Information

COLONIAL PARK NURSING HOME INC
600 W FRONTAGE RD
OKEMAH, OK74859-6433
 Phone: 918-623-1936
 Fax: 918-623-2287
 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 COLONIAL PARK NURSING HOME INC

NPI # 1467750976
LBN Legal business name COLONIAL PARK NURSING HOME INC
Authorized official JOHN SMART - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2011
Last updated 03/08/2011 - About 15 years ago
Identifiers
OK License # NH5405-5405
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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