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Oak Grove Manor, Inc

Skilled Nursing Facility in Idabel, OK · enumerated 2005 · authorized official Dewey Pebworth, Administrator.

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

National Provider Identifier

1891784070

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Registry record

Entity type Organization (Type 2)
Legal business name Oak Grove Manor, Inc
Practice address Highway 259 South, Idabel, OK, 74745
Enumeration date Oct 19, 2005
Last updated in NPPES Feb 25, 2008

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License NH4505-4505 (OK) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH4505-4505 (OK) Primary

Authorized official

Name Dewey Pebworth
Title Administrator

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 Oak Grove Manor, Inc?
Oak Grove Manor, Inc is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-25.