Organization
INTEGRIS BLACKWELL HOME HEALTH & HOSPICE
Active
Other names
Integris Blackwell Regional Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (DIRECTOR, BUSINESS OPERATIONS)
(615) 465-7466
Entity
Organization
Contact information
Practice address
710 S 13TH ST, BLACKWELL, OK 74631-3700
(580) 363-2311
(580) 363-9352
Mailing address
706 S 13TH STREET, BLACKWELL, OK 74631-3700
(580) 363-2311
(580) 363-9352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700340B
—
OK
Enumeration date
07/26/2006
Last updated
06/09/2014
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