Organization
THE BAIR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE RICKARD (ACCOUNTS RECEIVABLE SUPERVISOR)
(724) 946-8711
Entity
Organization
Contact information
Practice address
6705 E 81ST ST STE 123, TULSA, OK 74133-4152
(918) 727-2555
(918) 298-3869
Mailing address
241 HIGH ST, NEW WILMINGTON, PA 16142-1116
(724) 946-8711
(724) 946-3249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
OK
Enumeration date
07/03/2012
Last updated
02/15/2022
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