Healthcare Provider Details

I. General information

NPI: 1912843673
Provider Name (Legal Business Name): HANNAH RICHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N 5TH ST
HUGO OK
74743-4005
US

IV. Provider business mailing address

895 COTTON MOSS RD
VALLIANT OK
74764-5308
US

V. Phone/Fax

Practice location:
  • Phone: 580-326-9475
  • Fax: 580-326-9028
Mailing address:
  • Phone: 580-579-3383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: