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NPI Code Detail

MEDICARE: RUSSELL-MURRAY HOSPICE, INC.

MEDICARE: RUSSELL-MURRAY HOSPICE, 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
1251G00000XCommunity Based Hospice Care Agency4005OK

General Provider Information

NPI Number : 1629068879
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUSSELL-MURRAY HOSPICE, INC.
Provider Business Mailing Address
First Line : 2001 PARKVIEW DR
Second Line :
City : EL RENO
State : OK
Zip : 73036-2107
Country : US
Telephone Number : 405-262-3088
Fax Number : 405-262-3082
Provider Business Practice Location Address
First Line : 2001 PARKVIEW DR
Second Line :
City : EL RENO
State : OK
Zip : 73036-2107
Country : US
Telephone Number : 405-262-3088
Fax Number : 405-262-3082
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. CHRISTINA KETTER
Credential :
Telephone Number : 405-262-3088
Provider Enumeration Date : 10/27/2005
Last Update Date : 11/25/2024

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Directions to “RUSSELL-MURRAY HOSPICE, INC. ” Practice Location

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