Provider Demographics
NPI:1538748538
Name:CARING HANDS HEALTHCARE CENTERS INC
Entity type:Organization
Organization Name:CARING HANDS HEALTHCARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-426-2442
Mailing Address - Street 1:PO BOX 1992
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502-1992
Mailing Address - Country:US
Mailing Address - Phone:918-426-2442
Mailing Address - Fax:918-426-0050
Practice Address - Street 1:4 E CLARK BASS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-4269
Practice Address - Country:US
Practice Address - Phone:918-426-2442
Practice Address - Fax:918-426-0888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING HANDS HEALTHCARE CENTERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-06
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200108530Medicaid