Organization
CRAIG COUNTY MEDICAL SERVICES CORPORATION
Active
Other names
Rosewood Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON L HOFFMAN (VICE PRESIDENT)
(918) 355-1596
Entity
Organization
Contact information
Practice address
1200 W CANADIAN AVE, VINITA, OK 74301-2702
(918) 256-8768
(918) 256-8760
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3320
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
100777430A
OK
314000000X
Skilled Nursing Facility
Primary
37-5493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777430A
—
OK
Enumeration date
10/11/2006
Last updated
11/24/2009
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