Provider Demographics
NPI:1144279563
Name:AHNI HEALTH SERVICES INC.
Entity type:Organization
Organization Name:AHNI HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-966-3322
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:KEOTA
Mailing Address - State:OK
Mailing Address - Zip Code:74941-0515
Mailing Address - Country:US
Mailing Address - Phone:918-966-3322
Mailing Address - Fax:918-966-3319
Practice Address - Street 1:119 SOUTHWEST MAIN
Practice Address - Street 2:
Practice Address - City:KEOTA
Practice Address - State:OK
Practice Address - Zip Code:74941-0515
Practice Address - Country:US
Practice Address - Phone:919-966-3322
Practice Address - Fax:918-966-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200132610AMedicaid
377715Medicare Oscar/Certification