| Bridging Family Heathcare | |
|
117 S Bridge Blvd Grandfield OK 73546 | |
| (580) 560-5715 | |
| (580) 560-5735 |
| Full Name | Bridging Family Heathcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 S Bridge Blvd, Grandfield, Oklahoma |
| Authorized Official Name and Position | Kenda L Dean (OWNER) |
| Authorized Official Contact | 5805605715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Family Heathcare Po Box 475 Grandfield OK 73546-0475 Ph: () - | Bridging Family Heathcare 117 S Bridge Blvd Grandfield OK 73546 Ph: (580) 560-5715 |
| NPI Number | 1194477521 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 7113313776 |
|---|---|
| Medicare Enrollment ID | O20220407000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194477521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Kenda L Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801081658 PECOS PAC ID: 5799856068 Enrollment ID: I20080612000867 |
Variety Care Big Pasture Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 W 1st St, Grandfield, OK 73546 Phone: 405-632-6688 Fax: 580-479-3245 |