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COUNTRY LANE COTTAGE #2
NPI 1003934076
Intermediate Care Facility, Intellectual Disabilities in Beggs, OK

Active since March 27, 2007CLIA Certified · 6 labs
301 E 7TH ST, BEGGS, OK 74421(918) 267-3362(918) 267-3344 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Lane Cottage #2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY LANE COTTAGE #2 (NPI 1003934076) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Beggs, Oklahoma and active in the NPI registry since March 2007. The organization holds 6 active CLIA laboratory certificates and lists Scott Pilgrim, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1003934076
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSERVANT LIVING CENTER - BEGGS, LLC
Location Address301 E 7TH STBeggs, OK 74421
Mailing AddressP.o. Box 990Edmond, OK 73083 · (405) 285-8166 · Fax (405) 285-8177
Phone(918) 267-3362
Fax(918) 267-3344
Organization SubpartNo
Authorized OfficialScott PilgrimManaging Member · (405) 285-8166
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 16, 2008
✔ NPI 1003934076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OK · NH5616
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
301 E 7TH ST, Beggs, OK 74421
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Other Names 1

Doing Business AsCountry Lane Cottage #2

Other Identifiers 1

Medicaid200054610BOK

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2003278

Country Lane - Cottage 2 · Beggs, OK
Active · expires Feb 3, 2028
CLIA Number37D2003278
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane - Cottage 2306 E 7th Street, Beggs, OK 74421
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2003280

Country Lane - Cottage 3 · Beggs, OK
Active · expires Feb 3, 2028
CLIA Number37D2003280
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane - Cottage 3306 E 7th Street, Beggs, OK 74421
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2003281

Country Lane - Cottage 4 · Beggs, OK
Active · expires Feb 3, 2028
CLIA Number37D2003281
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane - Cottage 4306 E 7th Street, Beggs, OK 74421
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2003283

Country Lane - Cottage 1 · Beggs, OK
Active · expires Feb 3, 2028
CLIA Number37D2003283
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane - Cottage 1303 E 7th Street, Beggs, OK 74421
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2127933

Country Lane-Cottage 5 · Beggs, OK
Active · expires Mar 21, 2027
CLIA Number37D2127933
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane-Cottage 5507 N Chippewa, Beggs, OK 74421
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D0670580

Country Lane Cottages · Beggs, OK
Active · expires Aug 31, 2026
CLIA Number37D0670580
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMolly Cox
Laboratory Phone(918) 267-3362
Laboratory LocationCountry Lane Cottages306 E 7th Street, Beggs, OK 74421
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Servant Living Center - Beggs, LLC's NPI number?

The NPI number for Servant Living Center - Beggs, LLC is 1003934076. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Country Lane Cottage #2.

Where is Servant Living Center - Beggs, LLC located?

Servant Living Center - Beggs, LLC is located at 301 E 7th St, Beggs, OK 74421. The listed phone number is (918) 267-3362.

What is Servant Living Center - Beggs, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Servant Living Center - Beggs, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Servant Living Center - Beggs, LLC was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.