Caresource-Tulsa, Llc

LBN: Caresource-Tulsa, Llc
Caresource-Tulsa, Llc is an health care organization with primary practice located at 1400 Sw Expressway Dr , Broken Arrow OK 74012. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Caresource-Tulsa, Llc can be contacted via phone (918) 250-7051, or through Pierce, Larry via phone (405) 948-2822.

Contact Information

Primary practice address
1400 Sw Expressway Dr Broken Arrow OK 74012
Phone: (918) 250-7051
Fax: (918) 392-3442
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Larry
Phone: (405) 948-2822

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Oklahoma

Profile Details

NPI number 1013024710
LBN Legal business name Caresource-Tulsa, Llc
DBA Doing business as
Authorized official Pierce, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013024710 NPPES
Oklahoma MEDICAID 200074940A

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