Ashley Andrews

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

NPI 1992380109 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1992380109
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
422 W Gentry Ave
Checotah, OK 74426-2444
Phone
(918) 926-6100
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Behavioral Health Services, Inc. Current
since Feb 12, 2024
Accepting new patients

Locations

422 W Gentry Ave
Checotah, OK 74426
Phone (918) 926-6100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

422 W Gentry Ave
Checotah, OK 74426-2444

Mailing address

422 W Gentry Ave
Checotah, OK 74426-2444
Phone (918) 926-6100

Other providers in Checotah, OK

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

Sources for this page

Verify at the official NPI Registry.