NPI 1780977462 · live from the CMS NPI Registry
Broken Bow Health And Rehab LLC
Skilled Nursing Facility in Broken Bow, OK. National Provider Identifier 1780977462, active.
NPI record
| NPI | 1780977462 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 700 Jones St., Broken Bow, OK 74728 |
| Practice phone | 580-584-6433 |
| Mailing address | Po Box 130, 700 Jones St., Broken Bow, OK 74728 |
| Enumerated | May 27, 2011 |
| Last updated | June 3, 2011 |
| Authorized official | Giela Williams, Administrator |
| Other names | Indian Nations Healthcare LLC Dba Broken Bow Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH4501 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.