MEDICARE: SAYRE HEALTH CARE 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
1	314000000X	Skilled Nursing Facility	NH0502-0502	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1093837767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYRE HEALTH CARE INC

Provider Business Mailing Address
First Line	:	HIGHWAY 152 BOX 465
Second Line	:
City	:	SAYRE
State	:	OK
Zip	:	73662-0465
Country	:	US
Telephone Number	:	580-928-2494
Fax Number	:	580-928-2495

Provider Business Practice Location Address
First Line	:	1 QUARTER MILE E OF COURT HOUSE
Second Line	:
City	:	SAYRE
State	:	OK
Zip	:	73662
Country	:	US
Telephone Number	:	580-928-2494
Fax Number	:	580-928-2495

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DALE HENSLEY
Credential	:
Telephone Number	:	580-928-2494

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	04/01/2010

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Directions to “SAYRE HEALTH CARE INC ” Practice Location

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