# HEARTWAY CORPORATION

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

## Provider details

- **NPI number:** 1598743387
- **Authorized official:** KATHY SUZETTE BAUCOM (REGIONAL DIRECTOR)
- **Authorized official phone:** (580) 286-1065

## Contact information

- **Practice address:** 1305 SE ADAMS ST, IDABEL, OK 74745
- **Practice address phone:** (580) 286-3366
- **Practice address fax:** (580) 286-3022
- **Mailing address:** 1305 SE ADAMS ST, IDABEL, OK 74745-5240
- **Mailing address phone:** (580) 286-1065
- **Mailing address fax:** (580) 286-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH4504-4504 | OK | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 02/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100778790A | — | OK |