Wellformed AI

NPI 1720506702 · live from the CMS NPI Registry

City Of Sapulpa

Skilled Nursing Facility in Collinsville, OK. National Provider Identifier 1720506702, active.

NPI record

NPI1720506702 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location2300 W Broadway St, Collinsville, OK 74021
Practice phone918-371-2545
Mailing addressPo Box 990, Edmond, OK 73083
EnumeratedAugust 30, 2017
Last updatedAugust 30, 2017
Authorized officialBill Bush, Cfo
Other namesNorth County Senior Living

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000XNH7207 (OK)

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