| Hopebridge Llc | |
|
146 Sw 134th Street Moore OK 73170-1488 | |
| (855) 324-0885 | |
| Not Available |
| Full Name | Hopebridge Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 146 Sw 134th Street, Moore, Oklahoma |
| Authorized Official Name and Position | Angie Graff (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3173768336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopebridge Llc 3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 Ph: (855) 234-0885 | Hopebridge Llc 146 Sw 134th Street Moore OK 73170-1488 Ph: (855) 324-0885 |
| NPI Number | 1659039956 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 03/03/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659039956 | NPI | - | NPPES |
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