Choctaw Nation Care Center LLC
Skilled Nursing Facility in Antlers, OK. Organization (NPI-2).
NPI number1023005113
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1023005113
- Entity type
- Organization (NPI-2)
- Legal business name
- Choctaw Nation Care Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2005
- Certification date
- Mar 22, 2021
- Last updated
- Mar 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | OK | Yes |
Other names
- Choctaw Nation Care Center (Doing Business As)
Practice location
400 Sw O StAntlers, OK 74523-3416
Phone 580-298-5528 · Fax 580-298-2755
Mailing address
400 Sw O StAntlers, OK 74523-3416
Phone 580-298-5528 · Fax 580-298-6316
Authorized official
Michael Brandon Morgan
President
9182356443
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