Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bedlam Properties, LLC

Skilled Nursing Facility in Blackwell, OK · enumerated 2005 · authorized official Mark Lietzke, Ceo - Isp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053300269

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Bedlam Properties, LLC

Other name <Unavail>

Practice address 1210 S 6th St, Blackwell, OK, 74631

Phone (580) 363-3244

Fax (580) 363-2613

Enumeration date Oct 19, 2005

Last updated in NPPES Aug 26, 2021

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH36043604 (OK) Primary

Authorized official

Name Mark Lietzke

Title Ceo - Isp

Phone (918) 622-4799

Other identifiers

Identifier	Type	State	Issuer
100772420A	Medicaid	OK	-
000375402001	Other	OK	BC/BS PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-26. Verify at npiregistry.cms.hhs.gov.

Where is Bedlam Properties, LLC located?

The practice location on file with NPPES is in Blackwell, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-26.