Christin Cheyenne Carlile

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

NPI 1801410576 · NPPES record last updated May 29, 2020

Key facts

NPI
1801410576
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1212 E Kirk St
Hugo, OK 74743-3607
Phone
(580) 743-6711
NPI assigned
May 29, 2020
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1212 E Kirk St
Hugo, OK 74743-3607

Mailing address

2550 E 2010 Rd
Hugo, OK 74743-1057
Phone (805) 588-9776

Other providers in Hugo, OK

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

Sources for this page

Verify at the official NPI Registry.