MEDICARE: HOSPICE OF NORTH CENTRAL OKLAHOMA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	4003	OK

General Provider Information

NPI Number	:	1043201890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF NORTH CENTRAL OKLAHOMA, INC

Provider Business Mailing Address
First Line	:	445 FAIRVIEW AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-1931
Country	:	US
Telephone Number	:	580-762-9102
Fax Number	:	580-765-3653

Provider Business Practice Location Address
First Line	:	445 FAIRVIEW AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-1931
Country	:	US
Telephone Number	:	580-762-9102
Fax Number	:	580-765-3653

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	WENDY STOBBE
Credential	:
Telephone Number	:	580-762-9102

Provider Enumeration Date	:	11/01/2005
Last Update Date	:	05/07/2020

Similar Medicare Providers

1821505900 — NORTH CENTRAL PALLIATIVE CARE, LLC
Practice Location Address:

445 FAIRVIEW AVE
PONCA CITY, OK
74601-1931

Practice Phone: 580-762-9102
Practice Fax: 580-762-1911

1790336097 — BARBARA WRIGHT LMSW, LCSW, ACHP-SW
Practice Location Address:

445 FAIRVIEW AVE
PONCA CITY, OK
74601-1931

Practice Phone: 580-762-9102
Practice Fax:

1396676243 — FOREVER YOUNG ASSISTED LIVING, INC.
Practice Location Address:

1931 WOODSIDE RD
REDWOOD CITY, CA
94061-3336

Practice Phone: 650-369-3197
Practice Fax: 650-369-8557

1114924149 — RYAN N. CLARK MS, ATC/R, CSCS
Practice Location Address:

1931 BURLINGTON ST
NORTH KANSAS CITY, MO
64116-3407

Practice Phone: 816-241-2131
Practice Fax: 816-241-0551

1356329718 — MISS MICHELLE MARGARET MCGAVRAN MSPT
Practice Location Address:

1931 BURLINGTON ST
NORTH KANSAS CITY, MO
64116-3407

Practice Phone: 816-241-2131
Practice Fax:

1184699209 — NATIONAL SEATING & MOBILITY, INC
Practice Location Address:

96-1173 WAIHONA ST UNIT A3
PEARL CITY, HI
96782-1931

Practice Phone: 808-842-3889
Practice Fax: 808-842-3891

Directions to “HOSPICE OF NORTH CENTRAL OKLAHOMA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.