- Enrollment id
- O20080924000082
- Enrollment state
- OK
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609882539
- Multiple npi flag
- N
- Ccn
- 377418
- Associate id
- 7517949415
- Organization name
- FARMERS UNION HOSPITAL ASSOCIATION
- Doing business as name
- GREAT PLAINS HOME CARE
- Incorporation date
- 1938-08-30
- Incorporation state
- OK
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1801 W 3RD ST
- City
- ELK CITY
- State
- OK
- Zip code
- 736445145
- Practice location type
- HHA BRANCH