MEDICARE: BINGER NURSING AND REHABILITATION, 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
1	314000000X	Skilled Nursing Facility	NH0806-0806	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NH0806-0806	OTHER	OK	LICENSE NO.

General Provider Information

NPI Number	:	1770963092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BINGER NURSING AND REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	PO BOX 70
Second Line	:
City	:	HYDRO
State	:	OK
Zip	:	73048-0070
Country	:	US
Telephone Number	:	866-219-3619
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 NORTH BROADWAY
Second Line	:
City	:	BINGER
State	:	OK
Zip	:	73009-5002
Country	:	US
Telephone Number	:	405-656-2302
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BARNEY KENT ABBOTT
Credential	:
Telephone Number	:	405-445-0074

Provider Enumeration Date	:	06/02/2015
Last Update Date	:	06/15/2021

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