Healthcare Provider Details

I. General information

NPI: 1760715585
Provider Name (Legal Business Name): ALTERNACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W CHEROKEE AVE
SALLISAW OK
74955-4025
US

IV. Provider business mailing address

3404 W OKMULGEE ST
MUSKOGEE OK
74401-5071
US

V. Phone/Fax

Practice location:
  • Phone: 918-775-4845
  • Fax: 918-775-4654
Mailing address:
  • Phone: 918-682-7773
  • Fax: 918-682-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERRY KING
Title or Position: BILLING MANAGER
Credential:
Phone: 918-686-1037