Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WAGONER CARE CENTER LLC
Active
Organization
WAGONER CARE CENTER LLC
Active
Other names
Wagoner Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PRICE (MEMBER)
(918) 967-9285
Entity
Organization
Contact information
Practice address
205 N LINCOLN AVE, WAGONER, OK 74467-3915
(918) 485-2203
(918) 485-6673
Mailing address
205 N LINCOLN AVE, WAGONER, OK 74467-3915
(918) 485-2203
(918) 485-6673
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100771420A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771420A
—
OK
Enumeration date
02/07/2007
Last updated
01/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers