Organization
NORTHWEST INCORPORATED
Active
Other names
GRACE LIVING CENTER - NORTHWEST OKC, Fairmont Skilled Nursing and Therapy, Northwest Incorporated, Fairmont
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF RCM)
(405) 943-1144
Entity
Organization
Contact information
Practice address
3233 NW 10TH ST, OKLAHOMA CITY, OK 73107-5203
(405) 943-8366
(405) 488-0100
Mailing address
3233 NW 10TH ST, OKLAHOMA CITY, OK 73107-5203
(405) 943-8366
(405) 488-0100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5511-5511
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771780A
—
OK
Enumeration date
09/14/2006
Last updated
02/05/2026
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