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NPI Code Detail

MEDICARE: CLEVELAND HEALTHCARE PROPERTIES, LLC

MEDICARE: CLEVELAND HEALTHCARE PROPERTIES, LLC
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
1275N00000XMedicare Defined Swing Bed Hospital UnitOK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000370140001OTHEROKBCBS OKLAHOMA

General Provider Information

NPI Number : 1093831422
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND HEALTHCARE PROPERTIES, LLC
Provider Business Mailing Address
First Line : 1401 W PAWNEE
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-3033
Country : US
Telephone Number : 918-358-2501
Fax Number : 918-392-1995
Provider Business Practice Location Address
First Line : 1401 W PAWNEE
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-3033
Country : US
Telephone Number : 918-358-2501
Fax Number : 918-392-1995
Authorized Official
Title or Position : CFO
Name : TINA STEELE
Credential :
Telephone Number : 918-358-2501
Provider Enumeration Date : 03/21/2007
Last Update Date : 10/23/2008

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Directions to “CLEVELAND HEALTHCARE PROPERTIES, LLC ” Practice Location

Language Start Address Practice Location
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