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Coal County Extended Care Incorporated

Nursing Facility/Intermediate Care Facility in Coalgate, OK · enumerated 2005 · authorized official Trent Bourland, Chief Executive Officer.

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

National Provider Identifier

1639178130

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Coal County Extended Care Incorporated
Other name <Unavail>
Practice address 7 N Covington St, Coalgate, OK, 74538
Fax (580) 927-9940
Enumeration date Jul 18, 2005
Last updated in NPPES Jul 7, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH1501-1501 (OK) Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License NH1501-1501 (OK) Primary

Authorized official

Name Trent Bourland
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
100774650A Medicaid OK -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Coal County Extended Care Incorporated?
Coal County Extended Care Incorporated is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-07.