# BRIDGING FAMILY HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridging Family Heathcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194477521
- **Authorized official:** KENDA L DEAN APRN-CNP (OWNER)
- **Authorized official phone:** (580) 560-5715

## Contact information

- **Practice address:** 117 S BRIDGE BLVD, GRANDFIELD, OK 73546
- **Practice address phone:** (580) 560-5715
- **Practice address fax:** (580) 560-5735
- **Mailing address:** PO BOX 475, GRANDFIELD, OK 73546-0475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 02/06/2024
