Organization
PEAK MEDICAL OKLAHOMA NO. 4, INC.
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
South Park Care and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-4791
(405) 685-0232
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
NH55325532
OK
314000000X
Skilled Nursing Facility
Primary
NH55325532
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779070A
—
OK
Enumeration date
05/23/2006
Last updated
09/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us