Organization
IGNITE MEDICAL RESORT EDMOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (CEO)
(847) 453-4000
Entity
Organization
Contact information
Practice address
1400 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1240
(405) 875-0040
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
(847) 453-4000
(847) 453-4000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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