Samantha Lynn Burke
Individual provider Active NPI Case Manager/Care Coordinator · Idabel, OK
NPI 1922583863 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1922583863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 411 S Central Ave
Idabel, OK 74745-6059 - Phone
- (580) 286-5045
- NPI assigned
- Sep 26, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
411 S Central Ave
Idabel, OK 74745-6059
Mailing address
588 J Joiner Rd
Eagletown, OK 74734-5207
Phone (580) 236-9625
Other providers in Idabel, OK
- Brighter Heights Oklahoma, LLC
- Brighter Heights Oklahoma, LLC
- Michael Dewayne Brown Jr.
- Kelli Brumley
- Wendy Lynn Burge
- Janie Burris
- Vanessa M Burris
- Kassandra Busse
- Gordon Butzirus
- Jenna Leigh Buzan
All providers in Idabel, 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 Sep 26, 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.