DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHWEST INCORPORATED

MEDICARE: NORTHWEST INCORPORATED
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 FacilityNH5511-5511OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528163391
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST INCORPORATED
Provider Business Mailing Address
First Line : 3233 NW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-5203
Country : US
Telephone Number : 405-943-8366
Fax Number : 405-488-0100
Provider Business Practice Location Address
First Line : 3233 NW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-5203
Country : US
Telephone Number : 405-943-8366
Fax Number : 405-488-0100
Authorized Official
Title or Position : MANAGER
Name : MIKE DIMOND
Credential :
Telephone Number : 405-943-1144
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/23/2020

Similar Medicare Providers

1972771277 — MS. ANNETTE DAVENPORT MS, LPC
Practice Location Address:
1341 NW 105TH TER
OKLAHOMA CITY, OK
73114-5203
Practice Phone: 405-306-9405
Practice Fax:
1194201806 — ERIKA ALLISON DAVIS SHADE MCMHC, LPC CANDIATE
Practice Location Address:
1613 SE 66TH ST
OKLAHOMA CITY, OK
73149-5203
Practice Phone: 405-616-3366
Practice Fax:
1770047326 — MISS JAELY DELEON
Practice Location Address:
1613 SE 66TH ST
OKLAHOMA CITY, OK
73149-5203
Practice Phone: 405-616-3366
Practice Fax:
1336605666 — RANDI N ANDERSON
Practice Location Address:
1613 SE 66TH ST
OKLAHOMA CITY, OK
73149-5203
Practice Phone: 405-616-3366
Practice Fax:
1538703798 — MR. ERICK VAN WALDROP LADC/MH COUNSELOR
Practice Location Address:
1613 SE 66TH ST
OKLAHOMA CITY, OK
73149-5203
Practice Phone: 405-616-3366
Practice Fax: 405-616-4925
1679175194 — TESSA DAWN JACKSON LPN
Practice Location Address:
1613 SE 66TH ST
OKLAHOMA CITY, OK
73149-5203
Practice Phone: 405-616-3366
Practice Fax:

Directions to “NORTHWEST INCORPORATED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.