Trinka Blankenship

Individual provider Active NPI Case Manager/Care Coordinator · Poteau, OK

NPI 1164969887 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1164969887
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
509 Dewey St
Poteau, OK 74954
Phone
(918) 647-0174
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

509 Dewey St
Poteau, OK 74954

Mailing address

PO Box 82
Spiro, OK 74959-0082
Phone (918) 839-7115

Other providers in Poteau, OK

All providers in Poteau, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.