Organization
LIVEWELL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MORGAN PA (CEO)
(719) 214-0270
Entity
Organization
Contact information
Practice address
205 HARRIS CIR STE 102, TAHLEQUAH, OK 74464-8849
(719) 214-0270
Mailing address
PO BOX 688, STILWELL, OK 74960-0688
(719) 214-0270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831176924
NPI
OK
Enumeration date
06/24/2025
Last updated
07/11/2025
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