STATE OF OKLAHOMA (NPI# 1912158098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912158098 |
| Entity Type | Organization |
| Organization Name | STATE OF OKLAHOMA |
| Other Organization Name | BOARD OF REGENTS FOR OUHSC ON BEHALF OF GEORGE NIGH LTACH |
| Practice Address |
900 E Airport Road Okmulgee OK 74447-1118 |
| Mailing Address |
Po Box 1118 Okmulgee OK 74447-1118 |
| Practice Telephone | 9187569211 |
| Practice Fax Number | 9187569452 |
| Mailing Telephone | 9187569211 |
| Mailing Fax Number | 9187569452 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | MRS. KAREN S KNIGHT (BUSINESS MANAGER) |
| Authorized Official Telephone | 9187569211 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF OKLAHOMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | HL2378 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSE | HL2378 | 01 |
| Other Name | Type Code |
|---|---|
| Board of Regents for OUHSC on behalf of George Nigh LTACH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352057 | State of Oklahoma | Community/Behavioral Health | 400 North Oak, Taft, OK 74463 | 2010-03-23 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1124286059 | State of Oklahoma | Pharmacy | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2008-05-28 |
| 1154589430 | State of Oklahoma | Skilled Nursing Facility | 10014 Se 1138th Street, Talihina, OK 74571-6028 | 2008-05-23 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1720152788 | State of Oklahoma | Community/Behavioral Health | 702 N. Grand, Northwest Center for Behavioral Health, Enid, OK 73701 | 2006-11-20 |
| 1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1922171701 | State of Oklahoma | Psychiatric Hospital | 1 Mile East U.S. Highway 270, Fort Supply, OK 73841-0001 | 2006-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF OKLAHOMA EAST CENTRAL UNIVERSITY | 1100 E 14th St, Ada, OK 74820-6999 |
| Street Address |
900 E AIRPORT ROAD |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962557744 | Peter Werner Eckhardt | Physician Assistant | 900 E Airport Road, Okmulgee, OK 74447 | 2007-01-24 |
| 1902077316 | Gala S Mcbee | Speech-Language Pathologist | 900 E Airport Road, Okmulgee, OK 74447 | 2008-03-13 |
| 1306051644 | Paul Hailes | Occupational Therapist | 900 E Airport Road, Okmulgee, OK 74447 | 2007-05-11 |
| 1275759375 | Kimmi M Natt | Physical Therapist | 900 E Airport Road, Okmulgee, OK 74447 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309204 | Creek Nation Hospital & Clinics | Long Term Care Hospital | 900 E Airport Rd, Okmulgee, OK 74447-9082 | 2016-11-29 |
| 1578951364 | Creek Nation Hospital & Clinics | Long Term Care Hospital | 900 E Airport Rd, Okmulgee, OK 74447-9082 | 2014-12-31 |
| 1376979955 | Creek Nation Hospital & Clinics | Long Term Care Hospital | 900 E Airport Rd, Okmulgee, OK 74447-9082 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801205422 | Creek Nation Hospital & Clinics | Long Term Care Hospital | Muscogee Creek Nation Long Term Acute Care Hospital, Dept # 1432, Tulsa, OK 74182-0001 | 2014-08-07 |
| 1093016818 | Ltac Hospital of Edmond, LLC | Long Term Care Hospital | 4300 W Memorial Rd Fl 2, Oklahoma City, OK 73120-8304 | 2010-11-10 |
| 1518980978 | Solara Hospital Muskogee,llc | Long Term Care Hospital | 351 S 40th St, Muskogee, OK 74401-4916 | 2006-07-26 |
| 1780684175 | Select Specialty Hospital - Tulsa Inc | Long Term Care Hospital | 6161 S Yale St, 5th Floor South, Tulsa, OK 74136 | 2005-07-28 |
| 1659371268 | Select Specialty Hospital - Oklahoma City Inc | Long Term Care Hospital | 3524 Nw 56th St, Oklahoma City, OK 73112-4518 | 2005-07-26 |
| 1053311704 | Continuous Care Center of Bartlesville Inc | Long Term Care Hospital | 3500 East Frank Phillips Blvd, Tower 4, Bartlesville, OK 74006-2411 | 2005-07-22 |
| 1437500873 | Curahealth Oklahoma, LLC | Long Term Care Hospital | 2129 Sw 59th St, 2nd Floor, Oklahoma City, OK 73119-7024 | 2016-06-27 |
| 1447601877 | Curahealth Oklahoma, LLC | Long Term Care Hospital | 1407 N Robinson Ave, Oklahoma City, OK 73103-4823 | 2016-06-27 |
| 1154713089 | Specialty Hospital of Midwest City Operator LLC | Long Term Care Hospital | 8210 National Ave, Midwest City, OK 73110-8518 | 2015-03-02 |
| 1124451455 | Tulsa-amg Specialty Hospital, LLC | Long Term Care Hospital | 2408 E 81st St, Ste 2800, Tulsa, OK 74137-4200 | 2013-08-09 |
| 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.