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Organization

STATE OF OKLAHOMA

Active
Parent organization
STATE OF OKLAHOMA
Other names
Board of Regents for OUHSC on behalf of George Nigh LTACH
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF OKLAHOMA
Authorized official
MRS. KAREN S KNIGHT (BUSINESS MANAGER)
(918) 756-9211
Entity
Organization

Contact information

Practice address
900 E AIRPORT ROAD, OKMULGEE, OK 74447-1118
(918) 756-9211
(918) 756-9452
Mailing address
PO BOX 1118, OKMULGEE, OK 74447-1118
(918) 756-9211
(918) 756-9452

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
HL2378
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HL2378
LICENSE
OK
Enumeration date
10/07/2008
Last updated
03/26/2010
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