Wellformed AI

NPI 1336258409 · live from the CMS NPI Registry

Farwest Healthcare INC.

Skilled Nursing Facility in Elk City, OK. National Provider Identifier 1336258409, active.

NPI record

NPI1336258409 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location2301 Bell Ave, Elk City, OK 73644
Practice phone580-225-3335
EnumeratedAugust 30, 2006
Last updatedJuly 27, 2009
Authorized officialAlex Dout, Sec/Treas
Other namesBell Avenue Nursing Center

Taxonomies and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility313M00000XNH05050505 (OK)
Skilled Nursing Facility primary314000000XNH05050505 (OK)

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