Healthcare Provider Details
I. General information
NPI: 1053984518
Provider Name (Legal Business Name): ASPIRE HEALTH MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2021
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
213 N BROADWAY
CHECOTAH OK
74426
US
IV. Provider business mailing address
PO BOX 236
CHECOTAH OK
74426-0236
US
V. Phone/Fax
- Phone: 918-617-5262
- Fax:
- Phone: 918-410-0200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELINDA
KAY
SCHUERING
Title or Position: PROVIDER (APRN)/OWNER
Credential:
Phone: 918-617-5262