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TRADITIONS HOSPICE OF CHICKASHA LLC NPI 1144283839


NPI Information

NPI: 1144283839
Provider Name: TRADITIONS HOSPICE OF CHICKASHA, LLC

Doing Business As: TRADITIONS HOSPICE OF CHICKASHA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 37D1019195

Address:
205 WEST CHICKASHA AVENUE
SUITE 104
CHICKASHA, OK
ZIP 73018
Phone: (405) 321-2257
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TRADITIONS HOSPICE OF CHICKASHA, LLC is a hospice care community based in Chickasha, OK. TRADITIONS HOSPICE OF CHICKASHA, LLC NPI is 1144283839. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Hospice Of Chickasha.

The provider's business location address is:

205 WEST CHICKASHA AVENUE
SUITE 104
CHICKASHA, OK
ZIP 73018-690
Phone: (405) 321-2257

The provider's authorized official is Anthony A Blakeney .
The authorized official title is Cfo and has the following contact phone number (979) 704-6547.

The CLIA number assigned to this NPI record is 37D1019195 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200086920 AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.