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NPI 1194813451 · live from the CMS NPI Registry

Craig County Medical Services Corporation

Skilled Nursing Facility in Vinita, OK. National Provider Identifier 1194813451, active.

NPI record

NPI1194813451 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location1200 W Canadian Ave, Vinita, OK 74301
Practice phone918-256-8768
Mailing address1923 S Utica Ave, Tulsa, OK 74104
EnumeratedOctober 11, 2006
Last updatedNovember 24, 2009
Authorized officialRon Hoffman, Vice President
Other namesRosewood Terrace

Taxonomies and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility313M00000X100777430A (OK)
Skilled Nursing Facility primary314000000X37-5493 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.