Organization
BRISTOW HEALTHCARE PROPERTIES LLC
Active
Parent organization
BRISTOW HEALTHCARE PROPERTIES LLC
Other names
Bristow Medical Center Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRISTOW HEALTHCARE PROPERTIES LLC
Authorized official
MS. DEBBIE K CUPPS RN (DIRECTOR)
(918) 367-5644
Entity
Organization
Contact information
Practice address
124 W 4TH AVE, BRISTOW, OK 74010-2823
(918) 367-5644
(918) 367-2437
Mailing address
124 W 4TH AVE, BRISTOW, OK 74010-2823
(918) 367-5644
(918) 367-2437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7143
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003772660001
BLUE CROSS BLUE SHIELD
OK
05
—
200044170B
—
OK
Enumeration date
11/01/2006
Last updated
12/31/2008
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