Organization
COLONIAL TERRACE NURSING CARE CENTER LLC
Active
Other names
Colonial Terrace Care Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA TAYLOR (VP IN CHARGE OF REIMBURSEMENT)
(918) 775-6200
Entity
Organization
Contact information
Practice address
1320 NE 1ST PL, PRYOR, OK 74361-4406
(918) 825-5311
(918) 825-4439
Mailing address
201 N ELM ST, SUITE A, SALLISAW, OK 74955-4633
(918) 775-6200
(918) 775-5643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777360A
—
OK
Enumeration date
10/04/2005
Last updated
09/19/2007
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