Organization
ALTERNACARE INC
Active
Parent organization
ALTERNACARE INC
Other names
Alternacare of Tulsa
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTERNACARE INC
Authorized official
MR. JOHN WATSON DPH (PRESIDENT)
(918) 682-7773
Entity
Organization
Contact information
Practice address
10120 E 91ST ST, TULSA, OK 74133-5830
(918) 627-7773
(918) 628-0496
Mailing address
3404 W OKMULGEE ST, MUSKOGEE, OK 74401-5071
(918) 627-7773
(918) 628-0496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100804760H
—
OK
01
—
73-0797681-003
BCBS SUPPLIER ID
OK
Enumeration date
09/23/2005
Last updated
12/19/2012
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