Meadow Brook Icfmr in Howe - Intermediate Care Facility, Intellectual Disabilities

Meadow Brook Icfmr - NPI 1902966112

Meadow Brook Icfmr is a Intermediate Care Facility, Intellectual Disabilities in Howe, Oklahoma. Meadow Brook Icfmr practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Meadow Brook Icfmr is 1902966112. The last update date is 2020-08-22.

Meadow Brook Icfmr's current location address is 1200 Meadow Lane, Howe, Oklahoma. You can contact this provider via phone number 9186583656 and fax number 9186583967. The mailing address for Meadow Brook Icfmr is 1200 Meadow Lane, Howe, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Meadow Brook Icfmr
Address 1200 Meadow Lane, Howe, Oklahoma
Phone Number 9186583656
Fax Number 9186583967
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Bundy Sue Tabitha
Telephone Number 9186583656

NPI Number Detail

NPI Number 1902966112
Provider Enumeration Date 2006-12-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1200 Meadow Lane
City Howe
State Oklahoma (OK)
Post Code 74940
Phone Number 9186583656
Fax Number 9186583967

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37G117 OK STATE PROVIDER NUMBER

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FAQs about Meadow Brook Icfmr

What is the unique 10-digit identification code issued to Meadow Brook Icfmr by the Centers for Medicare & Medicaid Services?

The Meadow Brook Icfmr has been assigned the NPI (National Provider Identifier) 1902966112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Meadow Brook Icfmr's physical address?

The Meadow Brook Icfmr is physically located at 1200 Meadow Lane, in the city of Howe, OK, with the postal code 74940.

What is Meadow Brook Icfmr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Meadow Brook Icfmr's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.

On what date did the Meadow Brook Icfmr receive the assignment of its 1902966112 from the Centers for Medicare & Medicaid Services?

The Meadow Brook Icfmr was issued its 1902966112 by the Centers for Medicare & Medicaid Services on 2006-12-11.

As of what date was the information regarding Meadow Brook Icfmr, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Meadow Brook Icfmr, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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