# IGNITE MEDICAL RESORT BARTLESVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023648383
- **Authorized official:** TIM FIELDS (CEO)
- **Authorized official phone:** (833) 944-6483

## Contact information

- **Practice address:** 6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
- **Practice address phone:** (918) 331-0550
- **Mailing address:** 1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 09/04/2020