Organization
BRISTOW ENDEAVOR HEALTHCARE, LLC
Active
Parent organization
BRISTOW ENDEAVOR HEALTHCARE, LLC
Other names
Cimarron Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRISTOW ENDEAVOR HEALTHCARE, LLC
Authorized official
JAN E. WINTER (CEO)
(918) 367-2215
Entity
Organization
Contact information
Practice address
2340 E. MAIN STREET, CUSHING,, OK 74023
(918) 225-6904
(918) 225-4559
Mailing address
700 W. 7TH STREET, BRISTOW,, OK 74010
(918) 367-2215
(918) 367-9190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/18/2018
Last updated
05/29/2018
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