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Scg Madill Brookside LLC

Scg Madill Brookside LLC is a healthcare organization registered as Skilled Nursing Facility in Madill, OK, holding Type 2 (organization) NPI 1699764100 since 2005. The authorized official on file is Kevin Goyer, President.

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NPI 1699764100
Entity type Organization (Type 2)
Legal business name Scg Madill Brookside LLC
Other name <Unavail>
Practice address 310 BROOKSIDE DR, HIGHWAY 377, Madill, OK, 73446
Phone 5807952100
Fax 5806779918
Enumeration date 2005-10-18
Last updated in NPPES 2014-07-17

Authorized official

Name Kevin Goyer
Title President
Phone 8133412700

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary NH4801-4801 OK

Other identifiers

Identifier Type State Issuer
100776200A Medicaid OK
Copy-ready billing details
Provider: Scg Madill Brookside LLC
NPI: 1699764100
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 310 BROOKSIDE DR, HIGHWAY 377, Madill, OK, 73446

Providers at this address

NPI Name Type Specialty Location
1912000886 Courtney Thomas Individual Physical Therapy Assistant Madill, OK
1114590098 Madill Operating Co, LLC Organization Skilled Nursing Facility Madill, OK

Verify this record

Cross-check NPI 1699764100 against the authoritative CMS record: view Scg Madill Brookside LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 Scg Madill Brookside LLC?
Scg Madill Brookside LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-17.