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City of Sapulpa

NPI 1164940029ActiveOrganization· Skilled Nursing Facility· Broken Arrow, OK

Skilled Nursing Facility in Broken Arrow, Oklahoma, registered in NPPES in August 2017, part of City of Sapulpa. The authorized official on file is Bill Bush, Cfo.

Overview

NPI1164940029
StatusActive
Entity typeOrganization (subpart)
Parent organizationCity of Sapulpa
NPI issuedAug 31, 2017
Last updated in NPPESAug 31, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000XCCRC7202OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Broken Arrow

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