Healthcare Provider Details

I. General information

NPI: 1982945820
Provider Name (Legal Business Name): ALTERNACARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N MAIN ST STE B
MUSKOGEE OK
74401-4451
US

IV. Provider business mailing address

3404 W OKMULGEE ST
MUSKOGEE OK
74401-5071
US

V. Phone/Fax

Practice location:
  • Phone: 918-686-1037
  • Fax:
Mailing address:
  • Phone: 918-682-7773
  • Fax: 918-682-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JACK SCOTT ROGERS
Title or Position: MANAGING MEMBER
Credential:
Phone: 918-260-7088