OK4 FT. GIBSON OPCO LLC


Address: 205 E Poplar St, Fort Gibson, OK 74434-8272
Phone: 9184782456

OK4 FT. GIBSON OPCO LLC (NPI# 1215382734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215382734
Entity Type Organization
Organization Name OK4 FT. GIBSON OPCO LLC
Other Organization Name FORT GIBSON NURSING CENTER
Practice Address 205 E Poplar St
Fort Gibson
OK 74434-8272
Practice Telephone 9184782456
Mailing Telephone 9184782456
Enumeration Date 2016-05-03
Last Update Date 2016-05-27
Authorized Official Name ISAAC DOLE (MANAGER/PRINCIPAL)
Authorized Official Telephone 3127248950
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility OK Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Fort Gibson Nursing Center Doing Business As Name - Organization

Office Location

Street Address 205 E POPLAR ST
City FORT GIBSON
State OK
Zip Code 74434-8272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730662859 Donna Bradford Occupational Therapy Assistant 205 E Poplar St, Fort Gibson, OK 74434-8272 2018-09-14
1124501291 Dana Davis Physical Therapist 205 E Poplar St, Fort Gibson, OK 74434-8272 2018-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326323296 Janet Hulbert Occupational Therapist 1409 Saddlebrooke Dr, Fort Gibson, OK 74434 2011-10-11
1356643936 Justin Matthew Wedman Pharmacist 114 N. Lee St., Fort Gibson, OK 74434 2010-12-02
1396980546 Walker & Walker P.l.l.c. Dentist 106 Lone Oak Cr, Ft. Gibson, OK 74434 2008-12-02
1548305857 Christopher Back Family Medicine 129 N Lee St., Fort Gibson, OK 74434 2007-02-21
1982794442 Wanda Ann Teague Speech-Language Pathologist 500 South Ross Ave., Fort Gibson, OK 74434 2006-10-13
1891898912 Scotts Pharmacy LLC Pharmacy 1201 S Lee St, Fort Gibson, OK 74434 2006-09-06
1831206671 Charles Robert Mutch Family Medicine 104 Lone Oak Circle, Ft. Gibson, OK 74434 2006-08-25
1073511184 Brandon Medical, LLC Prosthetic/Orthotic Supplier 110 North Lee Street, Fort Gibson, OK 74434 2005-07-12
1265761381 Holly Jean Dawson Obstetrics & Gynecology 108 Lone Oak Cir, Fort Gibson, OK 74434 2009-12-19
1790892529 Donald M Elgin Family Medicine 104 Lone Oak Circle, Ft. Gibson, OK 74434 2006-08-25
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023142981 Fort Gibson Management LLC Skilled Nursing Facility 205 E Poplar, Fort Gibson, OK 74431 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861960940 Memory Care Center At Emerald, LLC Skilled Nursing Facility 2700 Hickory St, Claremore, OK 74017-1214 2018-11-07
1689126138 Cherish Life Services Skilled Nursing Facility 1110 E 4th Ave, Stillwater, OK 74074-3808 2016-11-01
1124574876 Christine J Hurd Skilled Nursing Facility 1401 North Lelia Street, Guymon, OK 73942 2016-08-31
1376993071 Henryetta Community Skilled Healthcare and Rehab, LLC Skilled Nursing Facility 212 N Antes Ave, Henryetta, OK 74437-7331 2016-06-14
1689029266 Swalk Operations, LLC Skilled Nursing Facility 315 Sw 80th Street, Oklahoma City, OK 73139 2016-05-02
1255702791 Tidwell Family Healthcare, LLC Skilled Nursing Facility 1209 W Main St, Quinton, OK 74561 2015-10-09
1033586664 Colonial Park Manor, LLC Skilled Nursing Facility 600 W. Frontage Road, Okemah, OK 74859-6433 2015-08-31
1770963092 Binger Nursing and Rehabilitation, LLC Skilled Nursing Facility 516 North Broadway, Binger, OK 73009-5002 2015-06-02
1467843177 Summers Health Services, LLC Skilled Nursing Facility 119 N. 6th St, Okeene, OK 73763 2015-02-17
1639560337 Southwest Ltc Temple LLC Skilled Nursing Facility 100 West Green Ave, Temple, OK 73568 2015-02-17
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Competitor

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City FORT GIBSON
Zip Code 74434

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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