Provider Demographics
NPI:1154463909
Name:BINGER NURSING HOME LLC
Entity type:Organization
Organization Name:BINGER NURSING HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-9285
Mailing Address - Street 1:PO BOX R
Mailing Address - Street 2:
Mailing Address - City:BINGER
Mailing Address - State:OK
Mailing Address - Zip Code:73009-0179
Mailing Address - Country:US
Mailing Address - Phone:405-656-2302
Mailing Address - Fax:405-656-2623
Practice Address - Street 1:HIGHWAY 281 NORTH
Practice Address - Street 2:
Practice Address - City:BINGER
Practice Address - State:OK
Practice Address - Zip Code:73009-0179
Practice Address - Country:US
Practice Address - Phone:405-656-2302
Practice Address - Fax:405-656-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK100778310A313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100778310AMedicaid
OK100778310AMedicaid
OK375398Medicare PIN