Provider Demographics
NPI:1720019953
Name:FIDELITY HEALTH CARE CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:FIDELITY HEALTH CARE CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-968-2656
Mailing Address - Street 1:P.O. BOX 959
Mailing Address - Street 2:
Mailing Address - City:STROUD
Mailing Address - State:OK
Mailing Address - Zip Code:74079
Mailing Address - Country:US
Mailing Address - Phone:918-968-2656
Mailing Address - Fax:918-968-2659
Practice Address - Street 1:320 NORTH 4TH AVE.
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079
Practice Address - Country:US
Practice Address - Phone:918-968-2656
Practice Address - Fax:918-968-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation