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Contact Information

ARTESIAN HOME, INC.
1415 W 15TH ST
SULPHUR, OK73086-2003
 Phone: 580-622-2030
 Fax: 580-622-5752
 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 ARTESIAN HOME, INC.

NPI Number 1588663520
LBN Legal business name ARTESIAN HOME, INC.
Authorized official TOM COBLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2005
Last updated 07/30/2023 - About 3 years ago
Identifiers
OK License # NH5001-5001
OK Medicaid 100770850 A
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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