NPI

Country Style Health Care Inc Ix

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2005-08-09
Last updated
2015-03-30

Specialties

Licenses

License OK
HC7689

Location

Practice location
121 S 5th St
City
Henryetta OK
Postal code
74437-5203
Phone
(918) 650-9133

Organization contact

Name
JACKIE BROWNE
Title
VP of Operations
Phone
9184652626

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Henryetta, OK. 139 records in the public file.

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