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NPI Code Detail

MEDICARE: ALLEN BOWDEN SCHOOL

MEDICARE: ALLEN BOWDEN SCHOOL
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
1251J00000XNursing Care AgencyR0042052OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790884120
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEN BOWDEN SCHOOL
Provider Business Mailing Address
First Line : 7049 FRANKOMA RD
Second Line :
City : TULSA
State : OK
Zip : 74131-2018
Country : US
Telephone Number : 918-224-4440
Fax Number : 918-224-0617
Provider Business Practice Location Address
First Line : 7049 FRANKOMA RD
Second Line :
City : TULSA
State : OK
Zip : 74131-2018
Country : US
Telephone Number : 918-224-4440
Fax Number : 918-224-0617
Authorized Official
Title or Position : R.N.
Name : MS. LUCLIE M HENDRICKS
Credential : R.N
Telephone Number : 918-224-4440
Provider Enumeration Date : 09/22/2006
Last Update Date : 06/16/2008

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