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Contact Information

HEARTWAY CORPORATION
500 S YORK ST
MUSKOGEE, OK74403
 Phone: 918-682-6724
 Fax: 918-682-8090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for HEARTWAY CORPORATION

NPI # 1720066434
LBN Legal business name HEARTWAY CORPORATION
Authorized official KATHY BAUCOM - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2006
Last updated 02/16/2026 - About 4 months ago
Identifiers
OK License # NH5112-5112
OK Medicaid 100779190A
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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