SHATTUCK NURSING CENTER INC NPI 1710062179

NPI Details

SHATTUCK NURSING CENTER INC is a nursing facility intermediate care facility in Shattuck, OK. The provider is 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. SHATTUCK NURSING CENTER INC NPI is 1710062179. The provider is registered as an organization entity type.

The provider's business location address is:

201 N ALFALFA ST
SHATTUCK, OK
ZIP 73858-612
Phone: (580) 938-2501
Fax: (580) 938-5410

The provider's authorized official is Mike Williams .
The authorized official title is Administrator and has the following contact phone number (580) 938-2501.

The CLIA number assigned to this NPI record is 37D0672211 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: