Organization · Type 2 NPI
Countrywood Assisted Living & Memory Care, LLC
Point of Service · Kingfisher, OK
NPI number
1306041272
Active
Practice location
1604 S 13th St
Kingfisher, OK 73750-4619
Fax (405) 375-5830
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2 other providers at this address
About NPI 1306041272
Countrywood Assisted Living & Memory Care, LLC's National Provider Identifier is 1306041272, issued on Jun 19, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Kingfisher, OK. The record was last updated on May 13, 2008.