FARWEST HEALTHCARE INC. (NPI# 1336258409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336258409 |
| Entity Type | Organization |
| Organization Name | FARWEST HEALTHCARE INC. |
| Other Organization Name | BELL AVENUE NURSING CENTER |
| Practice Address |
2301 Bell Ave Elk City OK 73644-2254 |
| Practice Telephone | 5802253335 |
| Practice Fax Number | 5802256383 |
| Mailing Telephone | 5802253335 |
| Mailing Fax Number | 5802256383 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | MR. ALEX WADE DOUT (SEC/TREAS) |
| Authorized Official Telephone | 9183339545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH05050505 | OK | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH05050505 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | TAX ID | 030378262 | 01 |
| OK | 100770720A | 05 |
| Other Name | Type Code |
|---|---|
| Bell Avenue Nursing Center | Doing Business As Name - Organization |
| Street Address |
2301 BELL AVE |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492200 | Kelsey Brooke Travis | Physical Therapist | 2301 Bell Ave, Elk City, OK 73644-2254 | 2019-11-27 |
| 1790321594 | Joanna Wood | Physical Therapy Assistant | 2301 Bell Ave, Elk City, OK 73644-2254 | 2019-11-27 |
| 1750818720 | Robert Catlin Pendleton | Physical Therapy Assistant | 2301 Bell Ave, Elk City, OK 73644-2254 | 2017-05-21 |
| 1619334919 | Bell Avenue Nursing LLC | Skilled Nursing Facility | 2301 Bell Ave, Elk City, OK 73644-2254 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851520894 | Elk City Nursing Home LLC | Skilled Nursing Facility | 301 Garrett, Elk City, OK 73648-3113 | 2009-07-13 |
| 1619334919 | Bell Avenue Nursing LLC | Skilled Nursing Facility | 2301 Bell Ave, Elk City, OK 73644-2254 | 2016-01-19 |
| 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 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.