Organization · Type 2 NPI

Bristow Endeavor Healthcare, LLC

Special Hospital · Jenks,, OK

NPI number 1114435666 Active

Practice location

3029 W. Main Street
Jenks,, OK 74037

Call (918) 701-2300 Map

Fax (918) 417-7104

Mailing address

1809 E 13th St Ste 300
Tulsa, OK 74104-4431

Specialties and licenses

Taxonomy	Code	License
Special Hospital Primary	284300000X	None listed

Special Hospital: A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

NPI record

NPI: 1114435666
Entity type: Organization (Type 2)
Issued: Jan 18, 2018
Last updated: Nov 18, 2022
Status: Active
Subpart: Yes of Bristow Endeavor Healthcare, LLC

Other names

<unavail>
Center for Orthopaedic Reconstruction and Excellence · doing business as
Center for Orthopaedic Reconstruction and Excellence · doing business as

Authorized official

Melinda Kay Whitaker
Credentialing Coordinator
(918) 701-2313

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114435666

Bristow Endeavor Healthcare, LLC's National Provider Identifier is 1114435666, issued on Jan 18, 2018. The primary taxonomy on file is Special Hospital (284300000X), and the practice location is in Jenks,, OK. The record was last updated on Nov 18, 2022.