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NPI Code Detail

MEDICARE: LEGACY CARE

MEDICARE: LEGACY 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1902741580
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY CARE
Provider Business Mailing Address
First Line : 10026 S MINGO RD # 231A
Second Line :
City : TULSA
State : OK
Zip : 74133-5714
Country : US
Telephone Number : 918-845-6835
Fax Number :
Provider Business Practice Location Address
First Line : 10026 S MINGO RD # 231A
Second Line :
City : TULSA
State : OK
Zip : 74133-5714
Country : US
Telephone Number : 918-845-6835
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRIGITTE WILLIAMS
Credential :
Telephone Number : 918-845-6835
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “LEGACY CARE ” Practice Location

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