Organization
CORNERSTONE HOSPICE LLC
Active
Other names
Cornerstone Hospice of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRENT MOORE R PH D (OWNER/PRESIDENT)
(918) 213-4973
Entity
Organization
Contact information
Practice address
501 E 5TH ST STE A, BARTLESVILLE, OK 74003-3942
(918) 213-4973
Mailing address
501 E 5TH ST STE A, BARTLESVILLE, OK 74003-3942
(918) 213-4973
(918) 213-4989
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4146
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371606
MEDICARE PROVIDER NUMBER
OK
Enumeration date
08/09/2005
Last updated
07/28/2022
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