# BARNSDALL HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1962509331
- **Authorized official:** JANET HARDIN (OWNER ADMINISTRATOR)
- **Authorized official phone:** (918) 847-2572

## Contact information

- **Practice address:** 411 S 4TH, BARNSDALL, OK 74002-0000
- **Practice address phone:** (918) 847-2572
- **Practice address fax:** (918) 847-2698
- **Mailing address:** PO BOX 499, BARNSDALL, OK 74002-0499
- **Mailing address phone:** (918) 847-2572
- **Mailing address fax:** (918) 847-2698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH5701-5701 | OK | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100774040A | — | OK |
| 05 | — | 100774040C | — | OK |
| 01 | — | 730789665 | PREVIOUS TAX ID | OK |