Provider Demographics
NPI:1881780989
Name:HEALTH MANAGEMENT SERVICES, INC.
Entity type:Organization
Organization Name:HEALTH MANAGEMENT SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BREEDLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:918-618-6874
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-0937
Mailing Address - Country:US
Mailing Address - Phone:918-618-6874
Mailing Address - Fax:918-618-6868
Practice Address - Street 1:49 E FOLEY ST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3019
Practice Address - Country:US
Practice Address - Phone:918-618-6874
Practice Address - Fax:918-618-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT1093225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK447705915002OtherBCBS OF OKLAHOMA
OK447705915002OtherBCBS OF OKLAHOMA