Provider Demographics
NPI:1740202795
Name:CARE CHOICE HOSPICE OF DUNCAN
Entity Type:Organization
Organization Name:CARE CHOICE HOSPICE OF DUNCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:V
Authorized Official - Last Name:HULSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:405-948-1717
Mailing Address - Street 1:4401 NW 4TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-6562
Mailing Address - Country:US
Mailing Address - Phone:405-948-1717
Mailing Address - Fax:405-948-4377
Practice Address - Street 1:1000 W CHOCTAW AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2260
Practice Address - Country:US
Practice Address - Phone:405-222-1733
Practice Address - Fax:405-605-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371590Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER