Eastgate Village Llc in Muskogee - Skilled Nursing Facility
Eastgate Village Llc - NPI 1083663512
Eastgate Village Llc is a Skilled Nursing Facility in Muskogee, Oklahoma. Eastgate Village Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Eastgate Village Llc is 1083663512. The last update date is 2020-08-22.
Eastgate Village Llc's current location address is 3500 Haskell Blvd, Muskogee, Oklahoma. You can contact this provider via phone number 9186823191 and fax number 9186821131. The mailing address for Eastgate Village Llc is 3500 Haskell Blvd, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastgate Village Llc |
|---|---|
| Address | 3500 Haskell Blvd, Muskogee, Oklahoma |
| Phone Number | 9186823191 |
| Fax Number | 9186821131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Fletcher Louise Mary |
| Telephone Number | 9186823191 |
NPI Number Detail
| NPI Number | 1083663512 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3500 Haskell Blvd |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744033915 |
| Phone Number | 9186823191 |
| Fax Number | 9186821131 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH5113-5113 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identification code issued to Eastgate Village Llc by the Centers for Medicare & Medicaid Services?
The Eastgate Village Llc has been assigned the NPI (National Provider Identifier) 1083663512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Eastgate Village Llc?
The Eastgate Village Llc is physically situated at 3500 Haskell Blvd, in the city of Muskogee, state of OK, with the postal code 744033915.
What is Eastgate Village Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eastgate Village Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083663512 to Eastgate Village Llc?
The Centers for Medicare & Medicaid Services originally issued the 1083663512 to Eastgate Village Llc on 2006-05-10.
When was the information regarding Eastgate Village Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eastgate Village Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
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