Melinda Miles
Individual provider Active NPI Case Manager/Care Coordinator · Canton, OK
NPI 1083974869 · NPPES record last updated May 25, 2012
Key facts
- NPI
- 1083974869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 311 W. Main Street
Canton, OK 73724 - Phone
- (580) 515-1010
- Fax
- (580) 886-2339
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
311 W. Main Street
Canton, OK 73724
Mailing address
8175 Highway 281
Geary, OK 73040-4255
Other providers in Canton, OK
- Herod Drug, LLC
- Herod Drug, LLC.
- Beth R Holderby Acre
- Rebecca Carol Johnson
- Main Street Family Clinic LLC
- Sarah Anne Pierce
- Cynthia Ranae Scott
- Timothy Albert Scott
- Terri Nicole Williams
- Sandra Denise Winn
All providers in Canton, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.