DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PROVINCIAL HOME CARE

MEDICARE: PROVINCIAL HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency4158OK

General Provider Information

NPI Number : 1285625186
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROVINCIAL HOME CARE
Provider Business Mailing Address
First Line : 3555 NW 58TH ST
Second Line : STE. 900
City : OKLAHOMA CITY
State : OK
Zip : 73112-4707
Country : US
Telephone Number : 405-917-0650
Fax Number : 405-917-0656
Provider Business Practice Location Address
First Line : 3555 NW 58TH ST
Second Line : STE. 900
City : OKLAHOMA CITY
State : OK
Zip : 73112-4707
Country : US
Telephone Number : 405-917-0650
Fax Number : 405-917-0656
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. STEVEN L EDWARDS
Credential :
Telephone Number : 405-917-0650
Provider Enumeration Date : 10/31/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1548825581 — VITALIS METABOLIC HEALTH, PLLC
Practice Location Address:
3555 NW 58TH ST STE 910-W
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-653-9161
Practice Fax: 405-653-9163
1033454616 — DR. RYAN TODD MORGAN D.O.
Practice Location Address:
3555 NW 58TH ST STE 910-W
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-653-9161
Practice Fax: 405-653-9163
1649882556 — PARISSA KESHAVARZIAN FERGUSON PA
Practice Location Address:
3555 NW 58TH ST STE 910-W
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-653-9161
Practice Fax: 405-653-9163
1003813825 — DR. CARL PATRICK GRIFFIN M.D.
Practice Location Address:
3555 NW 58TH ST , SUITE 801
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-840-7003
Practice Fax: 405-840-8221
1093797730 — THE LYNN HEALTH SCIENCE INSTITUTE
Practice Location Address:
3555 NW 58TH ST , STE 800
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-602-3939
Practice Fax: 405-602-3945
1649217456 — OPTIMED MEDICAL SUPPLY INC.
Practice Location Address:
3555 NW 58TH ST , SUITE 630
OKLAHOMA CITY, OK
73112-4707
Practice Phone: 405-604-3644
Practice Fax: 405-609-1947

Directions to “PROVINCIAL HOME CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.