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NPI Code Detail

MEDICARE: BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC

MEDICARE: BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency7796OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100810750EOTHEROKSTATE WAIVER PROVIDER
2100810750DOTHEROKDHS SPPC PROVIDER

General Provider Information

NPI Number : 1053369090
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Provider Business Mailing Address
First Line : 300 JOHNNY BENCH DR STE 400
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-2470
Country : US
Telephone Number : 405-724-2872
Fax Number : 405-942-0018
Provider Business Practice Location Address
First Line : 9700 MASHBURN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-5509
Country : US
Telephone Number : 405-720-2401
Fax Number : 405-720-2556
Authorized Official
Title or Position : VP PLANNING & PROJECT MANAGEMENT
Name : WENDELL SHORT
Credential :
Telephone Number : 405-942-3000
Provider Enumeration Date : 05/04/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1447253240 — BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
Practice Location Address:
9700 MASHBURN BLVD
OKLAHOMA CITY, OK
73162-5509
Practice Phone: 405-721-2466
Practice Fax: 405-721-0668
1528475837 — ALISON BOYD APRN, NP-C
Practice Location Address:
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Practice Phone: 405-721-2466
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1659916336 — COLLEEN BARNETT RD
Practice Location Address:
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Practice Fax:
1114549920 — MR. JOSE L GAMBOA JR. PTA
Practice Location Address:
9700 MASHBURN BLVD
OKLAHOMA CITY, OK
73162-5509
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Practice Fax:
1225873797 — VANESSA MACAPAGAL GULLEY
Practice Location Address:
9700 MASHBURN BLVD
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73162-5509
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Practice Fax:
1992036966 — MRS. STEPHANIE DARLEAN COLE LADC
Practice Location Address:
5509 S HUDDLESTON DR
OKLAHOMA CITY, OK
73135-2323
Practice Phone: 405-317-4390
Practice Fax:

Directions to “BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC ” Practice Location

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