CHECOTAH HOLDINGS, LLC
Nursing Care, Pediatric
Checotah, Oklahoma
Provider NPI: 1992778278
Organization Information:Organization Name: CHECOTAH HOLDINGS, LLC
Practice Location:
321 SE 2ND ST CHECOTAH, OK 74426 US
Tel: 918-473-2251 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
321 SE 2ND ST CHECOTAH, OK 74426 US
Tel: 918-473-2251 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | OK | 313M00000X |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NH4602-4602 | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin