Organization
FIVE STAR INTERLOCAL COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY ANDERSON (EXECUTIVE DIRECTOR)
(918) 225-5600
Entity
Organization
Contact information
Practice address
1405 E MOSES ST, CUSHING, OK 74023-3635
(918) 225-5600
(918) 225-3026
Mailing address
1405 E MOSES ST, CUSHING, OK 74023-3635
(918) 225-5600
(918) 225-3026
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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