Indian Territory Provider Care Plus
LBN: Indian Territory Long Term Care, Inc.
Indian Territory Provider Care Plus is an health care organization with primary practice located at 105 N Neshoba St , Tishomingo OK 73460-1739. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care. Agencies / Case Management is the primary health care specialty.
Indian Territory Long Term Care, Inc. can be contacted via phone (580) 371-0015, or through Hendrix, Rhonda Jean via phone (580) 371-2106.
Contact Information
Primary practice address
105 N Neshoba St
Tishomingo OK 73460-1739
Phone: (580) 371-0015
Fax: (580) 371-3204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 100627980D | Oklahoma |
| Agencies / Nursing Care | 251J00000X | 100627980D | Oklahoma |
Profile Details
| NPI number | 1700916566 |
|---|---|
| LBN Legal business name | Indian Territory Long Term Care, Inc. |
| DBA Doing business as | Indian Territory Provider Care Plus |
| Authorized official | Hendrix, Rhonda Jean MSNARNPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Nov 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700916566 | NPPES |
| Oklahoma | MEDICAID | 100627980D | |
| Oklahoma | MEDICAID | 100627980C |
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