Willow Place – Intellectual Disabilities Intermediate Care Facility, NPI 1366524423

Willow Place is a healthcare provider. based in Weleetka, Oklahoma. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. NH3203-3203 (OK). The NPI Number for Willow Place is 1366524423

Main info

Organization
Name
Willow Place
NPI
1366524423
Phone
(405) 786-2266
Address
PO BOX 488
Authorized Official
MRS. DONNA R SIMMONS OFFICE MANAGER
Enumeration Date
19 October 2006
Last Update Date
12 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Willow Place

  • PO BOX 488

    WELEETKA, OK 748800488

    Phone: (405) 786-2266

    Fax: (405) 786-2388

    Type: Mailing

  • 622, South Alabama Street, Wetumka, Hughes County, Oklahoma, 74883, United States

    WETUMKA, OK 74883

    Phone: (405) 452-3278

    Fax: (405) 452-5154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74880)

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Reviews

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Frequently asked questions

What is the registry number for Willow Place?
The registry entry for Willow Place shows NPI 1366524423.
Is Willow Place currently accepting referrals based on NPI status?
Registry metadata lists Willow Place as active.
What type of care does Willow Place provide?
Willow Place's profile centers on Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Can patients visit Willow Place in Weleetka, Oklahoma?
For routing, start with Weleetka, Oklahoma for Willow Place, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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