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Blue River Healthcare Inc.
Nursing Facility/Intermediate Care Facility in Tishomingo, Oklahoma
NPI 1528159266

Blue River Healthcare Inc. is a Nursing Facility/Intermediate Care Facility based in Tishomingo, OK. Blue River Healthcare Inc. practices in Tishomingo, OK. The NPI Number for Blue River Healthcare Inc. is 1528159266 and holds a License No. NH35013501 (Oklahoma).

The current practice location address for Blue River Healthcare Inc. is 1105 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-2636 and via fax at 580-371-3890.

Location: 1105 E Main St, Tishomingo, OK, 73460-0157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528159266
Provider Name
Blue River Healthcare Inc.
Credential
Provider Entity Type
Organization
Address
1105 E Main St, Tishomingo, OK, 73460-0157
Phone Number
580-371-2636
Fax Number
580-371-3890
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1105 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2401
Phone Number
580-371-2636
Fax Number
580-371-3890
person
Provider Business Mailing Address Details
Address
1105 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2401
Phone Number
580-371-2636
Fax Number
580-371-3890
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH35013501 (Oklahoma)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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