Provider Demographics
NPI:1023356581
Name:THE BAIR FOUNDATION
Entity type:Organization
Organization Name:THE BAIR FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGERSTAFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LADC
Authorized Official - Phone:918-298-5059
Mailing Address - Street 1:2616 OAKHURST DR APT C
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-4608
Mailing Address - Country:US
Mailing Address - Phone:918-312-0450
Mailing Address - Fax:
Practice Address - Street 1:2921 E. 91ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-298-5059
Practice Address - Fax:918-298-3869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization