NPI 1568567113 · live from the CMS NPI Registry
Clinton Nursing Center, LLC
Skilled Nursing Facility in Clinton, OK. National Provider Identifier 1568567113, active.
NPI record
| NPI | 1568567113 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2400 W Modelle Ave, Clinton, OK 73601 |
| Practice phone | 580-323-1110 |
| Enumerated | September 14, 2006 |
| Last updated | February 5, 2026 |
| Authorized official | Kristy Deroin, Director Of Reimbursement |
| Other names | Grace Living Center - Clinton |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH2001-2001 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.