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WILDWOOD CARE CENTER NPI 1912099631


NPI Information

NPI: 1912099631
Provider Name: WILDWOOD CARE CENTER
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
3333 E 28TH ST
TULSA, OK
ZIP 74114
Phone: (918) 747-8008
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WILDWOOD CARE CENTER is a nursing facility intermediate care facility in Tulsa, 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. WILDWOOD CARE CENTER NPI is 1912099631. The provider is registered as an organization entity type.

The provider's business location address is:

3333 E 28TH ST
TULSA, OK
ZIP 74114-915
Phone: (918) 747-8008

The provider's authorized official is Ed Rucker .
The authorized official title is Administrator and has the following contact phone number (918) 743-7838.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care FacilityNH7209-7209OKLAHOMAYes
2314000000XSkilled Nursing FacilityNH7209-7209OKLAHOMAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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