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Contact Information

COLES NURSING HOME LLC
2300 W NOBLE AVE
GUTHRIE, OK73044-5504
 Phone: 405-282-1686
 Fax: 405-282-1681
 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 COLES NURSING HOME LLC

NPI Number 1811996770
LBN Legal business name COLES NURSING HOME LLC
Authorized official TANDIE HASTINGS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2005
Last updated 05/13/2008 - About 18 years ago
Identifiers
OK License # NH4201
OK Medicaid 100778230A
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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