1679699425 NPI number — CARNEGIE NURSING HOME, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679699425 NPI number — CARNEGIE NURSING HOME, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARNEGIE NURSING HOME, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679699425
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 NORTH BROADWAY
Provider Second Line Business Mailing Address:
P.O.BOX 99
Provider Business Mailing Address City Name:
CARNEGIE
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73015-0099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-654-1439
Provider Business Mailing Address Fax Number:
580-654-2637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 NORTH BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARNEGIE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73015-0099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-654-1439
Provider Business Practice Location Address Fax Number:
580-654-2637
Provider Enumeration Date:
03/22/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HILBURN
Authorized Official First Name:
SHERRI
Authorized Official Middle Name:
GEANETTE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
580-654-1439

Provider Taxonomy Codes

  • Taxonomy code: 313M00000X , with the licence number:  NH0801-0801 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)