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37D0684534 CLIA NUMBER - RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC

Laboratory Demographics

CLIA Number: 37D0684534

Facility Name: RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC

Facility Address:
7 N COVINGTON ST
COALGATE, OK
ZIP 74538
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Facility Phone Number: 580 927-2377

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1639178130

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 37D0684534
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC
Street 7 N COVINGTON ST
City COALGATE
State OK
ZIP 74538
Phone 580 927-2377
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024