Healthcare Provider Details

I. General information

NPI: 1265198840
Provider Name (Legal Business Name): RURAL WELLNESS ANADARKO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 E CENTRAL BLVD
ANADARKO OK
73005-4405
US

IV. Provider business mailing address

2524 N BROADWAY
EDMOND OK
73034-4172
US

V. Phone/Fax

Practice location:
  • Phone: 405-247-2553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH PUSEY
Title or Position: PRESIDENT
Credential: MD
Phone: 949-322-4337