MEDICARE: PARKS EDGE CARE CENTER 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	NH7219-7219	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	:	1841288727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKS EDGE CARE CENTER INC

Provider Business Mailing Address
First Line	:	415 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-1903
Country	:	US
Telephone Number	:	479-783-4672
Fax Number	:	479-783-2217

Provider Business Practice Location Address
First Line	:	1251 W HOUSTON ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-3734
Country	:	US
Telephone Number	:	539-367-4500
Fax Number	:	539-367-4510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL S. MORTON
Credential	:
Telephone Number	:	479-783-4672

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	04/28/2020

Similar Medicare Providers

1952056384 — CHANDLER ENKEY
Practice Location Address:

1251 W HOUSTON ST
BROKEN ARROW, OK
74012-3734

Practice Phone: 539-367-4500
Practice Fax:

1699658500 — MIGUEL DONATO MORA
Practice Location Address:

1251 W HOUSTON ST
BROKEN ARROW, OK
74012-3734

Practice Phone: 539-367-4500
Practice Fax:

1700740651 — MARCUS HOPKINS
Practice Location Address:

721 W QUEENS ST
BROKEN ARROW, OK
74012-1767

Practice Phone: 539-367-1534
Practice Fax:

1790640431 — MADISON BROOKE FROHRIP
Practice Location Address:

3113 S MAPLE AVE
BROKEN ARROW, OK
74012-7748

Practice Phone: 918-994-2764
Practice Fax:

1063801660 — JOHN CLAY BOWEN DO
Practice Location Address:

2950 S ELM PL STE 120
BROKEN ARROW, OK
74012-7816

Practice Phone: 918-451-5191
Practice Fax: 918-449-4653

1336002302 — RESTORE DERMATOLOGY CLINIC LLC
Practice Location Address:

4700 W URBANA ST STE 100
BROKEN ARROW, OK
74012-5520

Practice Phone: 539-281-3101
Practice Fax:

Directions to “PARKS EDGE CARE CENTER INC ” 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 © 2007-2025 (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.