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NPI Code Detail

MEDICARE: BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC

MEDICARE: BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA 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 FacilityCC55015501OK
2313M00000XNursing Facility/Intermediate Care FacilityCC55015501OK

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 : 1447253240
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA 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 : 405-721-0668
Provider Business Practice Location Address
First Line : 9700 MASHBURN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-5509
Country : US
Telephone Number : 405-721-2466
Fax Number : 405-721-0668
Authorized Official
Title or Position : VP PLANNING & PROJECT MANAGEMENT
Name : MR. WENDELL J SHORT
Credential :
Telephone Number : 405-942-3000
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

1053369090 — BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Practice Location Address:
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1528475837 — ALISON BOYD APRN, NP-C
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1659916336 — COLLEEN BARNETT RD
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1114549920 — MR. JOSE L GAMBOA JR. PTA
Practice Location Address:
9700 MASHBURN BLVD
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73162-5509
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1225873797 — VANESSA MACAPAGAL GULLEY
Practice Location Address:
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Practice Fax:
1992036966 — MRS. STEPHANIE DARLEAN COLE LADC
Practice Location Address:
5509 S HUDDLESTON DR
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Practice Fax:

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

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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.

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