Provider Demographics
NPI:1336160944
Name:ACCESS HEALTH TEAM INC.
Entity Type:Organization
Organization Name:ACCESS HEALTH TEAM INC.
Other - Org Name:TRANSITIONS LIFECARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-473-4093
Mailing Address - Street 1:200 W GENTRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-2440
Mailing Address - Country:US
Mailing Address - Phone:918-473-4093
Mailing Address - Fax:918-473-0780
Practice Address - Street 1:1515 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5046
Practice Address - Country:US
Practice Address - Phone:918-473-4093
Practice Address - Fax:918-473-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4207251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4207OtherHOSPICE CLASS B LICENSE
OK371676Medicare Oscar/Certification