HARMON COUNTY HEALTHCARE TRUST AUTHORITY (NPI# 1639166085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639166085 |
| Entity Type | Organization |
| Organization Name | HARMON COUNTY HEALTHCARE TRUST AUTHORITY |
| Other Organization Name | COLONIAL MANOR II |
| Practice Address |
120 W Versa St Hollis OK 73550-3046 |
| Mailing Address |
Po Box 793 Hollis OK 73550-0793 |
| Practice Telephone | 5806889431 |
| Practice Fax Number | 5806882491 |
| Mailing Telephone | 5806889431 |
| Mailing Fax Number | 5806882491 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MS. HOPE SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 5806889431 |
| Is Organization Subpart | Y |
| Parent Organization Name | HARMON COUNTY HEALTHCARE TRUST AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2902-2902 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100772150A | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Manor II | Doing Business As Name - Organization |
| Street Address |
120 W VERSA ST |
| City | HOLLIS |
| State | OK |
| Zip Code | 73550-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121147 | Amy Michelle Ashcraft | Nurse Practitioner | 920 N 8th, Hollis, OK 73550 | 2016-09-01 |
| 1366611824 | Blackhawk Mangum, LLC | Clinic/Center | 513 East Chestnut, Hollis, OK 73550 | 2008-02-28 |
| 1114391315 | Kimberly Yvette Hestand | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550 | 2015-11-25 |
| 1619081189 | William Paul Estes | Dentist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2006-08-19 |
| 1134744469 | Justin Cade Cole | Pharmacist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2020-06-12 |
| 1710316476 | Leeann Boyles Stanford | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2013-11-04 |
| 1639415581 | Lacy Elizabeth Moon | Counselor | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-12-21 |
| 1255695201 | Shortgrass Community Health Center, Inc | Clinic/Center | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-06-25 |
| 1366654147 | Harmon County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-05-04 |
| 1831319334 | Bridget A Moss | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-04-26 |
| Find all providers in zip 73550 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366654147 | Harmon County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455696 | Global Higher Call Nursing, LLC | Nursing Facility/Intermediate Care Facility | 407 Whitebird St, Quapaw, OK 74363-0912 | 2020-07-23 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1659773778 | First Choice Home Medical Inc | Nursing Facility/Intermediate Care Facility | 720 N Galena Ave, Geary, OK 73040-1501 | 2014-09-19 |
| 1467852244 | Jlg Healthcare LLC | Nursing Facility/Intermediate Care Facility | 811 W Elk, Duncan, OK 73533-1196 | 2014-08-28 |
| 1720326622 | Integris Rehab LLC | Nursing Facility/Intermediate Care Facility | 14145 S 220th East Ave, Coweta, OK 74429-6269 | 2013-01-28 |
| 1053617761 | Colonial Park Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-01-28 |
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1770768566 | Cox Building Company, Inc. | Nursing Facility/Intermediate Care Facility | 3501 W Washington St, Broken Arrow, OK 74012-9196 | 2007-12-31 |
| 1477745834 | Rehabcare | Nursing Facility/Intermediate Care Facility | 300 Rockefeller, Muskogee, OK 74401-5235 | 2007-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HARMON COUNTY HEALTHCARE TRUST AUTHORITY.
| 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.