Hospice Center of Southeastern Oklahoma, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4210 Issued in OK

Legal business name

HOSPICE CENTER OF SOUTHEASTERN OKLAHOMA, INC

Practice address

1100 NE Lincoln Rd
Idabel, OK 74745-2412

Phone

(580) 208-2273

Fax

(580) 286-2226

NPI assigned

Nov 4, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Wyatt

Title

Cfo

Phone

(580) 920-0600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1790776086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021018",
            "telephone_number": "580-920-0600",
            "fax_number": "580-920-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452412",
            "telephone_number": "580-208-2273",
            "fax_number": "580-286-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CENTER OF SOUTHEASTERN OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-920-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.