Bristow Endeavor Healthcare, LLC
Organization Active NPI Family Medicine Physician · Cushing,, OK
NPI 1295243749 · NPPES record last updated May 29, 2018
Key facts
- NPI
- 1295243749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BRISTOW ENDEAVOR HEALTHCARE, LLC
- Practice address
- 2340 E. Main Street
Cushing,, OK 74023 - Phone
- (918) 225-6904
- Fax
- (918) 225-4559
- NPI assigned
- Jan 18, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- BRISTOW ENDEAVOR HEALTHCARE, LLC
Authorized official
- Name
- Jan E. Winter
- Title
- Ceo
- Phone
- (918) 367-2215
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Bristow Endeavor Hlthcr LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
2340 E. Main Street
Cushing,, OK 74023
Mailing address
700 W. 7TH Street
Bristow,, OK 74010
Phone (918) 367-2215
Other names
- Cimarron Healthcare Center
Other providers in Cushing,, OK
- Jenniffer Blankinship
- Shannon Marie Bleyl
- Michelle Boone
- Daniel Wayne Bridges
- Bristow Endeavor Healthcare, LLC
- Broadway Smiles PC
- Brittani Buckaloo
- Christopher Ryan Bugg
- Sue M Burkhalter
- Martha Cacker
All providers in Cushing,, OK · Family Medicine Physician 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 29, 2018. 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.