# MEDRITE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144704107
- **Authorized official:** BENJAMIN BRADLEY (CEO)
- **Authorized official phone:** (918) 756-3114

## Contact information

- **Practice address:** 102 N BROADWAY AVE, HASKELL, OK 74436-9654
- **Practice address phone:** (918) 238-1700
- **Mailing address:** 109 W 6TH ST, OKMULGEE, OK 74447-5015
- **Mailing address phone:** (918) 756-3114
- **Mailing address fax:** (918) 758-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2018
- **Last updated:** 09/17/2018