Provider Demographics
NPI:1790127983
Name:MCCORTNEY FAMILY HOSPICE
Entity Type:Organization
Organization Name:MCCORTNEY FAMILY HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-332-6900
Mailing Address - Street 1:623 N PORTER AVE
Mailing Address - Street 2:SUITED 200
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6072
Mailing Address - Country:US
Mailing Address - Phone:580-360-2400
Mailing Address - Fax:580-360-2402
Practice Address - Street 1:623 N PORTER AVE
Practice Address - Street 2:SUITED 200
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6072
Practice Address - Country:US
Practice Address - Phone:580-360-2400
Practice Address - Fax:580-360-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKH04292251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based