NPI 1063196988
Fort Gibson Healthcare, LLC
Practice location
- Address
- 205 E Poplar St, Fort Gibson, OK 74434-8272
- Phone
- (918) 478-2456
- Mailing address
- 477 N Lindbergh Blvd STE 310, Saint Louis, MO 63141-7856
Authorised official
- Name
- Naftali Friedman
- Title
- Manager
- Phone
- (314) 631-3000
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063196988
- Entity type
- Organization
- NPI issued
- 12 Jun 2023
- Record last updated
- 12 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.