Shattuck Nursing Center Inc
NPI 1710062179 · Nursing Facility/Intermediate Care Facility · Shattuck, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shattuck Nursing Center Inc is a Nursing Facility/Intermediate Care Facility organization in Shattuck, OK (NPI 1710062179).
Provider details
- NPI number
- 1710062179
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Williams, Administrator(580) 938-2501
- License
- NH2301-2301 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2015-08-27
Frequently asked questions
- What is Shattuck Nursing Center Inc's NPI number?
- Shattuck Nursing Center Inc's National Provider Identifier (NPI) is 1710062179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shattuck Nursing Center Inc?
- Shattuck Nursing Center Inc is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Shattuck Nursing Center Inc located?
- Shattuck Nursing Center Inc's practice location on file with NPPES is 201 N Alfalfa St, Shattuck, OK 73858-7612.
- What is Shattuck Nursing Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Shattuck Nursing Center Inc is (580) 938-2501.
- Does Shattuck Nursing Center Inc accept Medicare?
- Shattuck Nursing Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shattuck Nursing Center Inc?
- The authorized official listed on Shattuck Nursing Center Inc's NPPES record is Mike Williams, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shattuck Nursing Center Inc's NPI active?
- Yes — Shattuck Nursing Center Inc's NPI (1710062179) is active in the NPPES registry as of the last update on 2015-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.