Organization
COUNTRY STYLE HEALTH CARE INC
Active
Other names
Oklahoma Healthcare Solutions I
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE C BROWNE (VP OF OPERATIONS)
(918) 465-2626
Entity
Organization
Contact information
Practice address
156 SOUTH EL PASO Y, KETCHUM, OK 74349-0299
(918) 782-4449
(918) 782-4649
Mailing address
PO BOX 299, KETCHUM, OK 74349-0299
(918) 782-4449
(918) 782-4649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7371
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261910A
—
OK
05
—
100686310B
—
OK
Enumeration date
08/09/2005
Last updated
05/07/2020
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