# CRAIG COUNTY MEDICAL SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rosewood Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194813451
- **Authorized official:** MR. RON L HOFFMAN (VICE PRESIDENT)
- **Authorized official phone:** (918) 355-1596

## Contact information

- **Practice address:** 1200 W CANADIAN AVE, VINITA, OK 74301-2702
- **Practice address phone:** (918) 256-8768
- **Practice address fax:** (918) 256-8760
- **Mailing address:** 1923 S UTICA AVE, TULSA, OK 74104-6520
- **Mailing address phone:** (918) 744-3320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100777430A | OK | — |
| 314000000X | Skilled Nursing Facility | 37-5493 | OK | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100777430A | — | OK |