Provider Demographics
NPI:1730778812
Name:CURA-HPC EDMOND LLC
Entity type:Organization
Organization Name:CURA-HPC EDMOND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-260-1998
Mailing Address - Street 1:3501 FRENCH PARK DR STE F
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7290
Mailing Address - Country:US
Mailing Address - Phone:405-906-3880
Mailing Address - Fax:405-906-3852
Practice Address - Street 1:3501 FRENCH PARK DR STE F
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7290
Practice Address - Country:US
Practice Address - Phone:405-906-3880
Practice Address - Fax:405-906-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based