Provider Demographics
NPI:1841384062
Name:WESTERN HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:WESTERN HEALTH MANAGEMENT, INC.
Other - Org Name:MAPLE LAWN NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-403-2003
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:HYDRO
Mailing Address - State:OK
Mailing Address - Zip Code:73048-0070
Mailing Address - Country:US
Mailing Address - Phone:866-403-2003
Mailing Address - Fax:877-505-4114
Practice Address - Street 1:800 ARAPAHO AVE.
Practice Address - Street 2:
Practice Address - City:HYDRO
Practice Address - State:OK
Practice Address - Zip Code:73048-0070
Practice Address - Country:US
Practice Address - Phone:405-663-2455
Practice Address - Fax:405-663-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH06040604314000000X
OKNH0604-0604314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200213890AMedicaid
OK375496Medicare Oscar/Certification