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COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC
NPI 1306041272
Point of Service in Kingfisher, OK

Active since June 19, 2007
1604 S 13TH ST, KINGFISHER, OK 73750(405) 375-5232(405) 375-5830 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countrywood Assisted Living & Memory Care, Llc NPPES

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

COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC (NPI 1306041272) is a healthcare organization registered as a point of service in Kingfisher, Oklahoma and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1306041272
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCOUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC
Location Address1604 S 13TH STKingfisher, OK 73750-4619
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(405) 375-5232
Fax(405) 375-5830
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 19, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1306041272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1604 S 13TH ST, Kingfisher, OK 73750
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WC-COUNTRYWOOD OPS, LLC
Assisted Living Facility
1604 S 13TH ST
KINGFISHER, OK 73750
Kingfisher County (405) 375-5232
HOMESTEAD OF KINGFISHER OPERATIONS LLC
Assisted Living Facility
1604 S 13TH ST
KINGFISHER, OK 73750
Kingfisher County (405) 778-2071

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 Countrywood Assisted Living & Memory Care, LLC's NPI number?

The NPI number for Countrywood Assisted Living & Memory Care, LLC is 1306041272. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Countrywood Assisted Living & Memory Care, LLC located?

Countrywood Assisted Living & Memory Care, LLC is located at 1604 S 13th St, Kingfisher, OK 73750. The listed phone number is (405) 375-5232.

What is Countrywood Assisted Living & Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Countrywood Assisted Living & Memory Care, LLC was last updated on May 13, 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.