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NPI Code Detail

MEDICARE: MEDI-PLEX NURSING CENTERS INC.

MEDICARE: MEDI-PLEX NURSING CENTERS 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
1314000000XSkilled Nursing FacilityNH-3201OK

General Provider Information

NPI Number : 1356338438
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDI-PLEX NURSING CENTERS INC.
Provider Business Mailing Address
First Line : 1600 E HIGHWAY ST
Second Line :
City : HOLDENVILLE
State : OK
Zip : 74848-4245
Country : US
Telephone Number : 918-775-6200
Fax Number : 918-775-5643
Provider Business Practice Location Address
First Line : 1600 E HIGHWAY ST
Second Line :
City : HOLDENVILLE
State : OK
Zip : 74848-4245
Country : US
Telephone Number : 405-379-5443
Fax Number : 405-379-7451
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL BRANDON MORGAN
Credential :
Telephone Number : 405-379-5443
Provider Enumeration Date : 10/04/2005
Last Update Date : 03/14/2021

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Directions to “MEDI-PLEX NURSING CENTERS INC. ” Practice Location

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