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Contact Information

AUTUMNBRIDGE SOUTHWEST LLC
2642 E 21ST ST
TULSA, OK74114-1716
 Phone: 918-236-4866
 Fax: 918-236-4867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for AUTUMNBRIDGE SOUTHWEST LLC

NPI Number 1821079161
LBN Legal business name AUTUMNBRIDGE SOUTHWEST LLC
Authorized official WILLIAM SLAUGHTER - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2005
Last updated 10/13/2015 - About 11 years ago
Identifiers
OK License # 4196
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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