# IHS STONEGATE NURSING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonegate Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417954900
- **Authorized official:** MR. BART T REED (PRESIDENT)
- **Authorized official phone:** (580) 436-0950

## Contact information

- **Practice address:** 130 E 6TH STREET, STONEWALL, OK 74871-0277
- **Practice address phone:** (580) 436-0950
- **Practice address fax:** (580) 436-0950
- **Mailing address:** 130 E 6TH STREET, STONEWALL, OK 74871-0277
- **Mailing address phone:** (580) 436-0950
- **Mailing address fax:** (580) 436-0950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH6205-6205 | OK | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 12/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100777760A | — | OK |